Gravesend Medical Services,p.c.

NPI 1427190800 - Clinic/Center - 261QP2000X

NPI Details
NPI 1427190800
Enumeration Date 02/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name YELENA YELENA
Position PRESIDENT
Phone (718) 336-1810
Fax (718) 627-9338
Practice Location
825 AVENUE W
BROOKLYN NY, 11223-5558, US
Phone (718) 336-1810
Fax (718) 627-9338
Business Location
825 AVENUE W
BROOKLYN NY, 11223-5558, US
Phone (718) 336-1810
Fax (718) 627-9338
Toxanomy
Taxonomy Code 261QP2000X
License State New York
License Number 1974471
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According to our database, Gravesend Medical Services,p.c. NPI is 1427190800, taxonomy code is 261QP2000X and license number is 1974471, license state is located at New York. Gravesend Medical Services,p.c. physically located at 825 Avenue W, Brooklyn NY, 11223-5558. NPI Number 1033115704 has the healthcare provider type.

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1427190800 NPI number is provided on an as is basis without warranty of any kind. 1427190800 is maintained by the National Plan & Provider Enumeration System. The contents of Gravesend Medical Services,p.c. are for informational purposes only.