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NPI Code Detail

MEDICARE: PARKVILLE MEDICAL PC

MEDICARE: PARKVILLE 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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician158543NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982889648
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKVILLE MEDICAL PC
Provider Business Mailing Address
First Line : 445 PARK AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-2735
Country : US
Telephone Number : 718-963-0800
Fax Number : 718-534-5221
Provider Business Practice Location Address
First Line : 445 PARK AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-2735
Country : US
Telephone Number : 718-963-0800
Fax Number : 718-534-5221
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : PAUL ROSENSTOCK
Credential : M.D.
Telephone Number : 718-963-0800
Provider Enumeration Date : 12/31/2007
Last Update Date : 07/09/2015

Similar Medicare Providers

1588651756 — DR. ANDREW HOWARD SCHEINFELD M.D.
Practice Location Address:
445 PARK AVE
BROOKLYN, NY
11205-2735
Practice Phone: 212-249-3949
Practice Fax:
1346432945 — MRS. MARIA T SEO NP-C
Practice Location Address:
445 PARK AVE
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11205-2735
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Practice Fax: 718-534-5221
1295914869 — LEON KOHANBASH MS-FNP
Practice Location Address:
445 PARK AVE
BROOKLYN, NY
11205-2735
Practice Phone: 718-963-0800
Practice Fax: 206-600-5366
1659546851 — SLEEP LABS OF BROOKLYN INC.
Practice Location Address:
445 PARK AVE , SUITE 101
BROOKLYN, NY
11205-2735
Practice Phone: 888-599-9522
Practice Fax: 877-442-3840
1003063942 — HEALTHBERRY PHYSICAL THERAPY OFFICE, PC
Practice Location Address:
445 PARK AVE
BROOKLYN, NY
11205-2735
Practice Phone: 718-534-7100
Practice Fax: 718-534-5221
1164670303 — MS. PATTIE N WALTON FNP
Practice Location Address:
445 PARK AVE
BROOKLYN, NY
11205-2735
Practice Phone: 718-963-0800
Practice Fax: 718-534-5221

Directions to “PARKVILLE MEDICAL PC ” Practice Location

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