It Medical Essence Pc

NPI 1154649887 - Clinic/Center - 261QP2300X

NPI Details
NPI 1154649887
Enumeration Date 05/05/2010
Last Updated 05/05/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name IGOR A IGOR
Position PRESIDENT
Phone (718) 934-2211
Fax (718) 934-2225
Practice Location
2995 OCEAN PKWY
BROOKLYN NY, 11235-8387, US
Phone (718) 934-2211
Fax (718) 934-2225
Business Location
2728 KINGS HWY
APT. F11
BROOKLYN NY, 11229-1768, US
Phone (718) 934-2211
Fax (718) 934-2225
Toxanomy
Taxonomy Code 261QP2300X
License State New York
License Number 253007
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According to our database, It Medical Essence Pc NPI is 1154649887, taxonomy code is 261QP2300X and license number is 253007, license state is located at New York. It Medical Essence Pc physically located at 2995 Ocean Pkwy, Brooklyn NY, 11235-8387. NPI Number 1033115704 has the healthcare provider type.

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1154649887 NPI number is provided on an as is basis without warranty of any kind. 1154649887 is maintained by the National Plan & Provider Enumeration System. The contents of It Medical Essence Pc are for informational purposes only.