1501 Medical Pc

NPI 1083921779 - Family Medicine - 207Q00000X

NPI Details
NPI 1083921779
Enumeration Date 09/02/2010
Last Updated 09/02/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ILYA PAVLOV ILYA
Position OWNER
Phone (718) 837-2660
Fax
Practice Location
1501 80TH ST STE 1
BROOKLYN NY, 11228-2533, US
Phone (718) 837-2660
Fax
Business Location
1501 80TH ST STE 1
BROOKLYN NY, 11228-2533, US
Phone (718) 837-2660
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1083921779 NPI Number
 

According to our database, 1501 Medical Pc NPI is 1083921779, taxonomy code is 207Q00000X 1501 Medical Pc physically located at 1501 80th St Ste 1, Brooklyn NY, 11228-2533. NPI Number 1033115704 has the healthcare provider type.

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1083921779 NPI number is provided on an as is basis without warranty of any kind. 1083921779 is maintained by the National Plan & Provider Enumeration System. The contents of 1501 Medical Pc are for informational purposes only.