Healthcare Provider Details

I. General information

NPI: 1427457498
Provider Name (Legal Business Name): METROPOLITAN MEDICAL AND SURGICAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2076 E 13TH ST
BROOKLYN NY
11229-3304
US

IV. Provider business mailing address

2076 E 13TH ST
BROOKLYN NY
11229-3304
US

V. Phone/Fax

Practice location:
  • Phone: 718-382-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number685038
License Number StateNY

VIII. Authorized Official

Name: MICHAEL KASS
Title or Position: REGISTERED NURSE
Credential:
Phone: 718-382-7900