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NPI Code Detail

MEDICARE: DOCTOR ON CALL MEDICAL PC

MEDICARE: DOCTOR ON CALL MEDICAL PC
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
1207QA0505XAdult Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578794434
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTOR ON CALL MEDICAL PC
Provider Business Mailing Address
First Line : 2646 E 14TH ST
Second Line : 1ST.FLOOR
City : BROOKLYN
State : NY
Zip : 11235-3916
Country : US
Telephone Number : 718-646-3333
Fax Number : 718-787-0270
Provider Business Practice Location Address
First Line : 2646 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3916
Country : US
Telephone Number : 718-646-3333
Fax Number : 718-787-0270
Authorized Official
Title or Position : OWNER
Name : DR. MARK DASHEVSKIY
Credential : MD, DO
Telephone Number : 718-646-3333
Provider Enumeration Date : 07/27/2009
Last Update Date : 03/28/2013

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Directions to “DOCTOR ON CALL MEDICAL PC ” Practice Location

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