| Medical Polis P.c. | |
|
2639 Atlantic Ave Brooklyn NY 11207-2407 | |
| (718) 385-1115 | |
| Not Available |
| Full Name | Medical Polis P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2639 Atlantic Ave, Brooklyn, New York |
| Authorized Official Name and Position | Nikolai Lagoduke (PRESIDENT) |
| Authorized Official Contact | 8482039608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Polis P.c. Po Box 747896 Flushing NY 11374-7896 Ph: (848) 203-9608 | Medical Polis P.c. 2639 Atlantic Ave Brooklyn NY 11207-2407 Ph: (718) 385-1115 |
| NPI Number | 1295929701 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295929701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 233906 (New York) | Primary |
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