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NPI Code Detail

MEDICARE: VIS A VIS AT HOME MEDICAL OF NY P.C.

MEDICARE: VIS A VIS AT HOME MEDICAL OF NY 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
1207R00000XInternal Medicine Physician
2208000000XPediatrics Physician
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1285017277
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIS A VIS AT HOME MEDICAL OF NY P.C.
Provider Business Mailing Address
First Line : 250 SKILLMAN ST STE 204
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-1218
Country : US
Telephone Number : 718-534-0689
Fax Number :
Provider Business Practice Location Address
First Line : 1481 MCDONALD AVE FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4667
Country : US
Telephone Number : 929-491-7333
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : REKHA BHANDARI
Credential : MD
Telephone Number : 929-491-7333
Provider Enumeration Date : 07/08/2015
Last Update Date : 10/11/2023

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Directions to “VIS A VIS AT HOME MEDICAL OF NY P.C. ” Practice Location

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