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NPI Code Detail

MEDICARE: ND MEDICAL PC

MEDICARE: ND MEDICAL 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number : 1649741869
Entity Type Code : Organization
Provider Name (Legal Business Name) : ND MEDICAL PC
Provider Business Mailing Address
First Line : 2402 63RD ST APT E3
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3441
Country : US
Telephone Number : 646-288-9144
Fax Number : 718-645-1148
Provider Business Practice Location Address
First Line : 4119 18TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-5709
Country : US
Telephone Number : 718-245-6042
Fax Number : 718-880-9219
Authorized Official
Title or Position : PROVIDER / OWNER
Name : DR. NADIRE DZHALTUROVA
Credential : DO
Telephone Number : 646-288-9144
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/16/2018

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Directions to “ND MEDICAL PC ” Practice Location

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