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NPI Code Detail

MEDICARE: TBHC PHYSICIAN SERVICES PC

MEDICARE: TBHC PHYSICIAN SERVICES 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
12084N0400XNeurology Physician
2207RG0100XGastroenterology Physician
3208C00000XColon & Rectal Surgery Physician
4207RH0003XHematology & Oncology Physician
5207X00000XOrthopaedic Surgery Physician
6207RP1001XPulmonary Disease Physician
7207T00000XNeurological Surgery Physician
8207N00000XDermatology Physician
9207V00000XObstetrics & Gynecology Physician
10207RI0200XInfectious Disease Physician
11208600000XSurgery Physician

General Provider Information

NPI Number : 1417183963
Entity Type Code : Organization
Provider Name (Legal Business Name) : TBHC PHYSICIAN SERVICES PC
Provider Business Mailing Address
First Line : 121 DEKALB AVE
Second Line : WE 408A 4TH FL
City : BROOKLYN
State : NY
Zip : 11201
Country : US
Telephone Number : 718-250-6813
Fax Number : 718-250-6850
Provider Business Practice Location Address
First Line : 86 SAINT FELIX ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3032
Country : US
Telephone Number : 718-250-6813
Fax Number : 718-250-6850
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : SAM JOSEPH AMIRFAR
Credential : MD
Telephone Number : 718-250-6813
Provider Enumeration Date : 06/10/2009
Last Update Date : 02/13/2026

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Directions to “TBHC PHYSICIAN SERVICES PC ” Practice Location

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