| Medical Office | |
|
1821 Rockaway Pkwy Brooklyn NY 11236-5005 | |
| (718) 531-2540 | |
| (718) 531-2540 |
| Full Name | Medical Office |
|---|---|
| Speciality | Clinic/center |
| Location | 1821 Rockaway Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Merita Pierre Louis (PRESIDENT ATTENTING) |
| Authorized Official Contact | 7185312540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Office 1821 Rockaway Pkwy Brooklyn NY 11236-5005 Ph: (718) 531-2540 | Medical Office 1821 Rockaway Pkwy Brooklyn NY 11236-5005 Ph: (718) 531-2540 |
| NPI Number | 1174673446 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174673446 | NPI | - | NPPES |
| 01729666 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 195497 (New York) | Primary |
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