Rutland Medical Plaza | |
887 Rutland Rd Brooklyn NY 11203 | |
(718) 756-3918 | |
(718) 756-1684 |
Full Name | Rutland Medical Plaza |
---|---|
Speciality | Internal Medicine |
Location | 887 Rutland Rd, Brooklyn, New York |
Authorized Official Name and Position | Peter Okechukwu Eze (MANAGER) |
Authorized Official Contact | 5166526797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rutland Medical Plaza 3 Norman Ct Dix Hills NY 11746-5811 Ph: (631) 423-2397 | Rutland Medical Plaza 887 Rutland Rd Brooklyn NY 11203 Ph: (718) 756-3918 |
NPI Number | 1194746636 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 09/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194746636 | NPI | - | NPPES |
01623665 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 200487 (New York) | Primary |
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