Healthcare Provider Details

I. General information

NPI: 1457588295
Provider Name (Legal Business Name): D & A MEDICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2792 OCEAN AVE FL 2
BROOKLYN NY
11229-4731
US

IV. Provider business mailing address

2792 OCEAN AVE FL 2
BROOKLYN NY
11229-4731
US

V. Phone/Fax

Practice location:
  • Phone: 718-676-2566
  • Fax: 718-676-2569
Mailing address:
  • Phone: 718-676-2566
  • Fax: 718-676-2569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. SERGEY VOSKIN
Title or Position: OWNER
Credential: MD
Phone: 718-676-2566