Healthcare Provider Details

I. General information

NPI: 1669559670
Provider Name (Legal Business Name): MEDICAL CARE 4 YOU.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 BROADWAY
BROOKLYN NY
11206-7306
US

IV. Provider business mailing address

825 BROADWAY
BROOKLYN NY
11206-7306
US

V. Phone/Fax

Practice location:
  • Phone: 718-302-9494
  • Fax:
Mailing address:
  • Phone: 718-302-9494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number229782
License Number StateNY

VIII. Authorized Official

Name: MR. ALEXANDER DALE
Title or Position: OWNER
Credential: MD
Phone: 718-302-9494