Organization · Type 2 NPI

Medical Office

Clinic/Center · Brooklyn, NY

NPI number 1174673446 Active

Practice location

1821 Rockaway Pkwy
Brooklyn, NY 11236-5005

Fax (718) 531-2540

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X195497 (NY)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1174673446

Medical Office's National Provider Identifier is 1174673446, issued on Jan 11, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 22, 2020.