MEDICARE: 21ST CENTURY 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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942396494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	21ST CENTURY MEDICAL PC

Provider Business Mailing Address
First Line	:	305 OCEAN VIEW AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6826
Country	:	US
Telephone Number	:	718-332-9592
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 OCEAN VIEW AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6826
Country	:	US
Telephone Number	:	718-332-9592
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. BELLA ALOYTS
Credential	:	MD DO
Telephone Number	:	718-332-9592

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	04/24/2008

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Directions to “21ST CENTURY MEDICAL PC ” Practice Location

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