MEDICARE: PROFESSIONAL MEDICAL ARTS, 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
1	207R00000X	Internal Medicine Physician	203703	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356302343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL MEDICAL ARTS, P.C.

Provider Business Mailing Address
First Line	:	1170 BRIGHTON BEACH AVE
Second Line	:	SUITE 1CC
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5901
Country	:	US
Telephone Number	:	718-769-1010
Fax Number	:	718-648-5669

Provider Business Practice Location Address
First Line	:	1170 BRIGHTON BEACH AVE
Second Line	:	SUITE 1CC
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5901
Country	:	US
Telephone Number	:	718-769-1010
Fax Number	:	718-648-5669

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARIKA DANIELLE CHERFAS
Credential	:	M.D.
Telephone Number	:	718-769-1010

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	08/22/2020

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