MEDICARE: OCEANBROOK MEDICAL 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1730031832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEANBROOK MEDICAL CARE PC

Provider Business Mailing Address
First Line	:	440 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4010
Country	:	US
Telephone Number	:	845-738-8770
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIE FTEHA
Credential	:
Telephone Number	:	845-662-2404

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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