MEDICARE: DOCTOR'S 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
1	173000000X	Legal Medicine	235336-1	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1760670152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR'S MEDICAL P.C

Provider Business Mailing Address
First Line	:	2968 AVENUE X
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1808
Country	:	US
Telephone Number	:	718-769-4988
Fax Number	:	718-769-4415

Provider Business Practice Location Address
First Line	:	2968 AVENUE X
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1808
Country	:	US
Telephone Number	:	718-769-4988
Fax Number	:	718-769-4415

Authorized Official
Title or Position	:	CEO
Name	:	MOUSTAFA O ELSHESHTAWY
Credential	:	MD
Telephone Number	:	917-704-6682

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	11/19/2025

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Directions to “DOCTOR'S MEDICAL P.C ” Practice Location

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