NPI 1073923561
Colorectal Care PLLC
Practice location
- Address
- 2647 Coney Island Ave, Brooklyn, NY 11223-5502
- Phone
- (718) 743-4450
- Mailing address
- 7000 Bay Pkwy, Brooklyn, NY 11204-5531
Authorised official
- Name
- Mychailo Fulmes
- Title
- Sole Mbr
- Phone
- (718) 743-4450
Registered specialties
Colon & Rectal Surgery Physician
Primary
Registry record
- NPI
- 1073923561
- Entity type
- Organization
- NPI issued
- 6 May 2014
- Record last updated
- 6 May 2014
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.