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NPI Code Detail

MEDICARE: NY PRIME CARE MEDICAL, PC

MEDICARE: NY PRIME CARE 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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1932425675
Entity Type Code : Organization
Provider Name (Legal Business Name) : NY PRIME CARE MEDICAL, PC
Provider Business Mailing Address
First Line : 2955 BRIGHTON 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-8533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2955 BRIGHTON 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-8533
Country : US
Telephone Number : 718-834-8202
Fax Number : 718-504-0672
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : SHARMEEN SULTANA
Credential : M.D.
Telephone Number : 718-834-8202
Provider Enumeration Date : 04/19/2010
Last Update Date : 04/20/2010

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Directions to “NY PRIME CARE MEDICAL, PC ” Practice Location

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