Healthcare Provider Details

I. General information

NPI: 1881948313
Provider Name (Legal Business Name): HEALTHY POINT MEDICAL CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 11/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 GREENPOINT AVE 1ST FLOOR
BROOKLYN NY
11222-7099
US

IV. Provider business mailing address

157 GREENPOINT AVE 1ST FLOOR
BROOKLYN NY
11222
US

V. Phone/Fax

Practice location:
  • Phone: 718-349-1200
  • Fax: 718-349-1220
Mailing address:
  • Phone: 718-349-1200
  • Fax: 718-349-1220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number236377
License Number StateNY

VIII. Authorized Official

Name: DR. REYHAN HANNA SULEYMANI
Title or Position: PRESIDENT
Credential: DO
Phone: 718-349-1200