Healthcare Provider Details

I. General information

NPI: 1962747212
Provider Name (Legal Business Name): CAREMORE MEDICAL SERVICES OF NEW YORK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 PITKIN AVE
BROOKLYN NY
11212
US

IV. Provider business mailing address

12900 PARK PLAZA DR 150
CERRITOS CA
90703-9329
US

V. Phone/Fax

Practice location:
  • Phone: 888-291-1358
  • Fax:
Mailing address:
  • Phone: 888-291-1358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BALU GADHE
Title or Position: OWNER
Credential: MD
Phone: 888-291-1358