=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184629529
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALING THROUGH CARING MEDICAL P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2005
-----------------------------------------------------
Last Update Date | 10/24/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7620 BAY PKWY STE 1C
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11214-1534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-234-9100
-----------------------------------------------------
Fax | 718-234-0240
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7620 BAY PKWY STE 1C
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11214-1534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-234-9100
-----------------------------------------------------
Fax | 718-234-0240
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. IRINA N FUCHS
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 718-234-9100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 223524-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------