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NPI Code Detail

MEDICARE: BRIGHT MEDICAL CARE PC

MEDICARE: BRIGHT MEDICAL CARE PC
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
1207R00000XInternal Medicine Physician225308NY

General Provider Information

NPI Number : 1083906762
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT MEDICAL CARE PC
Provider Business Mailing Address
First Line : 2752 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4706
Country : US
Telephone Number : 718-769-9001
Fax Number : 718-769-9002
Provider Business Practice Location Address
First Line : 2752 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4706
Country : US
Telephone Number : 718-769-9001
Fax Number : 718-769-9002
Authorized Official
Title or Position : PRESIDENT
Name : DR. DMITRY KONSKY
Credential : D.O.
Telephone Number : 718-769-9001
Provider Enumeration Date : 05/12/2011
Last Update Date : 06/10/2011

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Directions to “BRIGHT MEDICAL CARE PC ” Practice Location

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