Medicine Specialty Group At Lich | |
97 Amity St Brooklyn NY 11201-6004 | |
(718) 780-2155 | |
Not Available |
Full Name | Medicine Specialty Group At Lich |
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Speciality | Internal Medicine - Gastroenterology |
Location | 97 Amity St, Brooklyn, New York |
Authorized Official Name and Position | Vladimir Privman (MANAGING EMPLOYEE) |
Authorized Official Contact | 7187802155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medicine Specialty Group At Lich 160 Water St 20fl New York NY 10038-4922 Ph: (212) 256-3682 | Medicine Specialty Group At Lich 97 Amity St Brooklyn NY 11201-6004 Ph: (718) 780-2155 |
NPI Number | 1003863820 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 11/03/2009 |
Identifier | Type | State | Issuer |
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1003863820 | NPI | - | NPPES |
02420102 | Medicaid | NY |
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