MEDICARE: RJ MEDICAL & URGENT CARE, PLLC

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
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1346632262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RJ MEDICAL & URGENT CARE, PLLC

Provider Business Mailing Address
First Line	:	464 BAY RIDGE AVE STE A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5906
Country	:	US
Telephone Number	:	718-680-6006
Fax Number	:

Provider Business Practice Location Address
First Line	:	464 BAY RIDGE AVE STE A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5906
Country	:	US
Telephone Number	:	718-680-6006
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. GETAW HASSEN
Credential	:	MD, PHD, FACEP
Telephone Number	:	718-680-6006

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	12/29/2015

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