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NPI Code Detail

MEDICARE: REAL MEDICINE, P.C.

MEDICARE: REAL MEDICINE, 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
1207R00000XInternal Medicine Physician210700NY

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 : 1871522441
Entity Type Code : Organization
Provider Name (Legal Business Name) : REAL MEDICINE, P.C.
Provider Business Mailing Address
First Line : 7 CORBIN PL APT 4B
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4801
Country : US
Telephone Number : 718-332-8899
Fax Number : 718-332-0327
Provider Business Practice Location Address
First Line : 3431 GUIDER AVE 1ST FLOOR
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-1123
Country : US
Telephone Number : 718-332-8899
Fax Number : 718-332-0327
Authorized Official
Title or Position : OFFICE MANAGER
Name : IRINA RAKHMANCHIK
Credential :
Telephone Number : 718-332-8899
Provider Enumeration Date : 07/03/2006
Last Update Date : 12/26/2023

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Directions to “REAL MEDICINE, P.C. ” Practice Location

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