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NPI Code Detail

MEDICARE: RDS MEDICAL P.C.

MEDICARE: RDS MEDICAL P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician223135NY

General Provider Information

NPI Number : 1003275975
Entity Type Code : Organization
Provider Name (Legal Business Name) : RDS MEDICAL P.C.
Provider Business Mailing Address
First Line : 7510 4TH AVE
Second Line : STE 5
City : BROOKLYN
State : NY
Zip : 11209-3244
Country : US
Telephone Number : 718-836-0761
Fax Number : 718-836-7369
Provider Business Practice Location Address
First Line : 7510 4TH AVE
Second Line : STE 5
City : BROOKLYN
State : NY
Zip : 11209-3244
Country : US
Telephone Number : 718-836-0761
Fax Number : 718-836-7369
Authorized Official
Title or Position : OWNER
Name : DR. OSCAR VARSHAVSKIY
Credential :
Telephone Number : 718-836-0761
Provider Enumeration Date : 02/19/2016
Last Update Date : 02/19/2016

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Directions to “RDS MEDICAL P.C. ” Practice Location

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