Bay Ridge Medical Llc

NPI 1073892162 - Internal Medicine - 207R00000X

NPI Details
NPI 1073892162
Enumeration Date 08/08/2011
Last Updated 08/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name VICTOR CHARLES VICTOR
Position EXECUTOR
Phone (718) 759-1950
Fax (718) 759-1948
Practice Location
539 BAY RIDGE PKWY
BROOKLYN NY, 11209-3309, US
Phone (718) 759-1950
Fax (718) 759-1948
Business Location
539 BAY RIDGE PKWY
BROOKLYN NY, 11209-3309, US
Phone (718) 759-1950
Fax (718) 759-1948
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 187344
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According to our database, Bay Ridge Medical Llc NPI is 1073892162, taxonomy code is 207R00000X and license number is 187344, license state is located at New York. Bay Ridge Medical Llc physically located at 539 Bay Ridge Pkwy, Brooklyn NY, 11209-3309. NPI Number 1033115704 has the healthcare provider type.

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1073892162 NPI number is provided on an as is basis without warranty of any kind. 1073892162 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Ridge Medical Llc are for informational purposes only.