MEDICARE: INTEGRATED MEDICAL ARTS 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
1	207R00000X	Internal Medicine Physician	203703	NY

General Provider Information

NPI Number	:	1811286537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED MEDICAL ARTS PC

Provider Business Mailing Address
First Line	:	3080 BRIGHTON 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5608
Country	:	US
Telephone Number	:	718-769-1010
Fax Number	:

Provider Business Practice Location Address
First Line	:	3080 BRIGHTON 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5608
Country	:	US
Telephone Number	:	718-769-1010
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARIKA D CHERFAS
Credential	:	M.D
Telephone Number	:	718-769-1010

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	04/04/2011

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