NPI 1053543868

International Medical Management Corp

Organisation General Practice Physician Brooklyn, NY

Practice location

Address: 121 Graham Ave, Brooklyn, NY 11206-2609
Phone: (718) 963-0276
Fax: (718) 963-0277

Authorised official

Name: Pedro P Rodriguez
Title: President
Phone: (718) 963-0276

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1053543868
Entity type: Organization
NPI issued: 12 Aug 2009
Record last updated: 12 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.