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NPI Code Detail

MEDICARE: COLON & RECTAL CARE, PC

MEDICARE: COLON & RECTAL CARE, 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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1477591907
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLON & RECTAL CARE, PC
Provider Business Mailing Address
First Line : 8405 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3359
Country : US
Telephone Number : 718-236-4040
Fax Number : 718-621-1365
Provider Business Practice Location Address
First Line : 8405 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3359
Country : US
Telephone Number : 718-236-4040
Fax Number : 718-621-1365
Authorized Official
Title or Position : PRESIDENT
Name : BORIS SACHAKOV
Credential : MD
Telephone Number : 718-236-4040
Provider Enumeration Date : 06/04/2006
Last Update Date : 08/22/2020

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Directions to “COLON & RECTAL CARE, PC ” Practice Location

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