| Ocean Avenue Medical, Pc | |
|
2700 Ocean Ave Brooklyn NY 11229-4604 | |
| (718) 934-6777 | |
| (718) 934-9560 |
| Full Name | Ocean Avenue Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2700 Ocean Ave, Brooklyn, New York |
| Authorized Official Name and Position | Lazar Kaganovsky (PRESIDENT) |
| Authorized Official Contact | 7189346777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Avenue Medical, Pc 2700 Ocean Ave Brooklyn NY 11229-4604 Ph: (718) 934-6777 | Ocean Avenue Medical, Pc 2700 Ocean Ave Brooklyn NY 11229-4604 Ph: (718) 934-6777 |
| NPI Number | 1114940574 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114940574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 167701 (New York) | Primary |
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