Utopian Medical Care P.c.

NPI 1427458108 - Internal Medicine - 207R00000X

NPI Details
NPI 1427458108
Enumeration Date 08/29/2014
Last Updated 08/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name OTIS MERCURY OTIS
Position PRESIDENT
Phone (718) 856-1136
Fax (718) 604-2438
Practice Location
836 NEW YORK AVE
BROOKLYN NY, 11203-2721, US
Phone (718) 856-1136
Fax (718) 604-2438
Business Location
836 NEW YORK AVE
BROOKLYN NY, 11203-2721, US
Phone (718) 856-1136
Fax (718) 604-2438
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 197850
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According to our database, Utopian Medical Care P.c. NPI is 1427458108, taxonomy code is 207R00000X and license number is 197850, license state is located at New York. Utopian Medical Care P.c. physically located at 836 New York Ave, Brooklyn NY, 11203-2721. NPI Number 1033115704 has the healthcare provider type.

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1427458108 NPI number is provided on an as is basis without warranty of any kind. 1427458108 is maintained by the National Plan & Provider Enumeration System. The contents of Utopian Medical Care P.c. are for informational purposes only.