| Woodhull Medical Care Pc | |
|
825 Broadway Brooklyn NY 11206-7306 | |
| (718) 302-5217 | |
| (718) 302-5223 |
| Full Name | Woodhull Medical Care Pc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 825 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Miguel Ramos (BILLING SUPERVISOR) |
| Authorized Official Contact | 7183025217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodhull Medical Care Pc 825 Broadway Brooklyn NY 11206-7306 Ph: (718) 302-5217 | Woodhull Medical Care Pc 825 Broadway Brooklyn NY 11206-7306 Ph: (718) 302-5217 |
| NPI Number | 1538326178 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538326178 | NPI | - | NPPES |
| 00202319 | Medicaid | NY | |
| 01681552 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 111981 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 195946 (New York) | Primary |
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