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NPI Code Detail

MEDICARE: MEGA MEDICAL CONSALTANTS PC

MEDICARE: MEGA MEDICAL CONSALTANTS 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
1261Q00000XClinic/Center229431NY

General Provider Information

NPI Number : 1114190402
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEGA MEDICAL CONSALTANTS PC
Provider Business Mailing Address
First Line : 2076 E 13TH ST
Second Line : 1ST FL
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7900
Fax Number : 718-382-7901
Provider Business Practice Location Address
First Line : 2076 E 13TH ST
Second Line : 1ST FL
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7900
Fax Number : 718-382-7901
Authorized Official
Title or Position : DIRECTOR
Name : DR. IRENE GLADSTEIN
Credential : M.D.
Telephone Number : 718-382-7900
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/08/2008

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Directions to “MEGA MEDICAL CONSALTANTS PC ” Practice Location

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