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NPI Code Detail

MEDICARE: ALBERT M WRIGHT MD PC

MEDICARE: ALBERT M WRIGHT MD 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
1174400000XSpecialist123611NY

General Provider Information

NPI Number : 1902085889
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBERT M WRIGHT MD PC
Provider Business Mailing Address
First Line : 1 PLAZA ST W
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3748
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 PLAZA ST W
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3748
Country : US
Telephone Number : 718-638-1971
Fax Number :
Authorized Official
Title or Position : SUPERVISOR
Name : EMMANUEL PREMPEH
Credential :
Telephone Number : 718-613-4365
Provider Enumeration Date : 10/29/2007
Last Update Date : 05/19/2008

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