| Priven Medical Pllc | |
|
2114 Gravesend Neck Rd Brooklyn NY 11229-4810 | |
| (718) 891-8790 | |
| Not Available |
| Full Name | Priven Medical Pllc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2114 Gravesend Neck Rd, Brooklyn, New York |
| Authorized Official Name and Position | Igor Priven (PRESIDENT) |
| Authorized Official Contact | 7189866443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Priven Medical Pllc 345 Route 9 Suite 8 Manalapan NJ 07726-3239 Ph: (718) 986-6443 | Priven Medical Pllc 2114 Gravesend Neck Rd Brooklyn NY 11229-4810 Ph: (718) 891-8790 |
| NPI Number | 1982887717 |
|---|---|
| Provider Enumeration Date | 12/15/2007 |
| Last Update Date | 10/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982887717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 220133 (New York) | Primary |
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