| Ocean Blue Medical Pc | |
|
2179 E 3rd St Fl 1 Brooklyn NY 11223-4820 | |
| (347) 541-1020 | |
| Not Available |
| Full Name | Ocean Blue Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2179 E 3rd St Fl 1, Brooklyn, New York |
| Authorized Official Name and Position | Jack Janani (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3475411020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Blue Medical Pc 2179 E 3rd St Fl 1 Brooklyn NY 11223-4820 Ph: () - | Ocean Blue Medical Pc 2179 E 3rd St Fl 1 Brooklyn NY 11223-4820 Ph: (347) 541-1020 |
| NPI Number | 1861094492 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Medicare PECOS PAC ID | 8729492087 |
|---|---|
| Medicare Enrollment ID | O20210127001676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861094492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jack Janani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285047092 PECOS PAC ID: 0042432486 Enrollment ID: I20190117002044 |
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