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NPI Code Detail

MEDICARE: SF NEW YORK MEDICAL SERVICES PC

MEDICARE: SF NEW YORK MEDICAL 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1679064448
Entity Type Code : Organization
Provider Name (Legal Business Name) : SF NEW YORK MEDICAL SERVICES PC
Provider Business Mailing Address
First Line : 250 SKILLMAN ST STE 202
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-1218
Country : US
Telephone Number : 212-734-6621
Fax Number : 516-430-5031
Provider Business Practice Location Address
First Line : 250 SKILLMAN ST STE 202
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-1218
Country : US
Telephone Number : 718-964-6161
Fax Number : 516-430-5031
Authorized Official
Title or Position : OWNER
Name : YITTY F
Credential :
Telephone Number : 212-734-6621
Provider Enumeration Date : 05/28/2018
Last Update Date : 09/19/2023

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Directions to “SF NEW YORK MEDICAL SERVICES PC ” Practice Location

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