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NPI Code Detail

MEDICARE: CODBI CORP.

MEDICARE: CODBI CORP.
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
1251X00000XSupports Brokerage Agency

General Provider Information

NPI Number : 1134391246
Entity Type Code : Organization
Provider Name (Legal Business Name) : CODBI CORP.
Provider Business Mailing Address
First Line : 3603 QUENTIN RD FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4203
Country : US
Telephone Number : 718-375-0800
Fax Number : 718-330-7919
Provider Business Practice Location Address
First Line : 3603 QUENTIN RD FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4203
Country : US
Telephone Number : 718-375-0800
Fax Number : 718-330-7919
Authorized Official
Title or Position : PRESIDENT
Name : MR. ANDREY LYUDVIKOVSKIY
Credential :
Telephone Number : 718-375-0800
Provider Enumeration Date : 03/28/2008
Last Update Date : 03/28/2008

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Directions to “CODBI CORP. ” Practice Location

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