| Manhattan Beach Int Med Pc | |
|
133a West End Ave Brooklyn NY 11235-4808 | |
| (718) 743-5616 | |
| (718) 743-0893 |
| Full Name | Manhattan Beach Int Med Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 133a West End Ave, Brooklyn, New York |
| Authorized Official Name and Position | Milla Sokolson (OFFICE MANAGER) |
| Authorized Official Contact | 7187435616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manhattan Beach Int Med Pc 133a West End Ave Brooklyn NY 11235-4808 Ph: (718) 743-5616 | Manhattan Beach Int Med Pc 133a West End Ave Brooklyn NY 11235-4808 Ph: (718) 743-5616 |
| NPI Number | 1790870962 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790870962 | NPI | - | NPPES |
| 02871727 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 207138 (New York) | Primary |
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