| Mjc Medical Care Pc | |
|
9602 Avenue L Brooklyn NY 11236-4813 | |
| (718) 444-0437 | |
| Not Available |
| Full Name | Mjc Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9602 Avenue L, Brooklyn, New York |
| Authorized Official Name and Position | Michel Jose Charles (PRESIDENT) |
| Authorized Official Contact | 7184440437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjc Medical Care Pc 9602 Avenue L Brooklyn NY 11236-4813 Ph: (718) 444-0437 | Mjc Medical Care Pc 9602 Avenue L Brooklyn NY 11236-4813 Ph: (718) 444-0437 |
| NPI Number | 1609250869 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 09/21/2015 |
| Medicare PECOS PAC ID | 2163784786 |
|---|---|
| Medicare Enrollment ID | O20180320000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609250869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 196901 (New York) | Primary |
| Provider Name | Hadley Cadot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821250192 PECOS PAC ID: 4082779657 Enrollment ID: I20090213000354 |
| Provider Name | Michel Jose Charles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598711459 PECOS PAC ID: 9032260955 Enrollment ID: I20090706000218 |
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