MEDICARE: PRECISION CARE MEDICAL PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician
2	208VP0000X	Pain Medicine Physician
3	225100000X	Physical Therapist
4	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1073069670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION CARE MEDICAL PC

Provider Business Mailing Address
First Line	:	2781 SHELL RD STE 101
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-6142
Country	:	US
Telephone Number	:	718-648-1234
Fax Number	:	718-648-1239

Provider Business Practice Location Address
First Line	:	2781 SHELL RD STE 101
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-6142
Country	:	US
Telephone Number	:	718-648-1234
Fax Number	:	718-648-1239

Authorized Official
Title or Position	:	MD
Name	:	VADIM ZARUBIN
Credential	:
Telephone Number	:	718-648-1234

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	10/30/2019

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Directions to “PRECISION CARE MEDICAL PC ” Practice Location

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