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NPI Code Detail

MEDICARE: FLATBUSH MEDICAL SERVICES P.C.

MEDICARE: FLATBUSH MEDICAL SERVICES 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
1261Q00000XClinic/Center112714NY

General Provider Information

NPI Number : 1467746271
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLATBUSH MEDICAL SERVICES P.C.
Provider Business Mailing Address
First Line : 1786 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4203
Country : US
Telephone Number : 718-938-3404
Fax Number :
Provider Business Practice Location Address
First Line : 1786 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4203
Country : US
Telephone Number : 718-938-3404
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STEPHEN ROBERTS
Credential : M.D.
Telephone Number : 718-938-3404
Provider Enumeration Date : 06/09/2011
Last Update Date : 06/09/2011

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