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NPI Code Detail

MEDICARE: GREAT HEALTH MEDICAL AL PC

MEDICARE: GREAT HEALTH MEDICAL AL 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1639913197
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREAT HEALTH MEDICAL AL PC
Provider Business Mailing Address
First Line : 407 WILLOUGHBY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-4590
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 N JACKSON ST STE 605
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3821
Country : US
Telephone Number : 718-534-0689
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ARON FELDMAN
Credential :
Telephone Number : 718-534-0689
Provider Enumeration Date : 06/20/2024
Last Update Date : 06/20/2024

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Directions to “GREAT HEALTH MEDICAL AL PC ” Practice Location

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