NPI 1114155546

87 Medical PC

Organisation General Practice Physician Brooklyn, NY

Practice location

Address: 8717 21st Ave, Brooklyn, NY 11214-4951
Phone: (718) 372-3150
Fax: (718) 372-3150

Authorised official

Name: Steven Wong
Title: Owner
Phone: (516) 385-1525

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A188292 (NY)

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Registry record

NPI: 1114155546
Entity type: Organization
NPI issued: 24 Jun 2009
Record last updated: 24 Jun 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.