Organization · Type 2 NPI
PM Medical PC
Primary Care Nurse Practitioner · Brooklyn, NY
NPI number
1801220629
Active
Practice location
4924 Avenue K
Brooklyn, NY 11234-2128
Mailing address
4924 Ave. K
Brooklyn, NY 11234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 188795 (NY) |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1801220629
PM Medical PC's National Provider Identifier is 1801220629, issued on Aug 28, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 28, 2013.