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NPI Code Detail

MEDICARE: HARVARD MEDICAL P.C.

MEDICARE: HARVARD MEDICAL P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1093959074
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARVARD MEDICAL P.C.
Provider Business Mailing Address
First Line : 1786 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4203
Country : US
Telephone Number : 718-377-7744
Fax Number : 718-377-7745
Provider Business Practice Location Address
First Line : 1786 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4203
Country : US
Telephone Number : 718-377-7744
Fax Number : 718-377-7745
Authorized Official
Title or Position : OWNER
Name : DR. STEPHEN ROBERTS
Credential : MD
Telephone Number : 718-377-7744
Provider Enumeration Date : 04/22/2009
Last Update Date : 04/22/2009

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Directions to “HARVARD MEDICAL P.C. ” Practice Location

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