Healthcare Provider Details

I. General information

NPI: 1518896190
Provider Name (Legal Business Name): BKLYN CONCIERGE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5712 15TH AVE
BROOKLYN NY
11219-4729
US

IV. Provider business mailing address

5712 15TH AVE
BROOKLYN NY
11219-4729
US

V. Phone/Fax

Practice location:
  • Phone: 347-693-9691
  • Fax:
Mailing address:
  • Phone: 347-693-9691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. BLIMA MARCUS
Title or Position: OWNER
Credential: NP
Phone: 347-693-9691