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POLARIS CARE MEDICAL PC NPI 1003554999


NPI Information

NPI: 1003554999
Provider Name: POLARIS CARE MEDICAL PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D2288811

Address:
824 55TH ST STE 1
BROOKLYN, NY
ZIP 11220
Phone: (718) 435-1025
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POLARIS CARE MEDICAL PC is an internal medicine in Brooklyn, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. POLARIS CARE MEDICAL PC NPI is 1003554999. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

824 55TH ST STE 1
BROOKLYN, NY
ZIP 11220-245
Phone: (718) 435-1025

The provider's authorized official is Che Liu .
The authorized official title is President and has the following contact phone number (646) 409-2508.

The CLIA number assigned to this NPI record is 33D2288811 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2022 and was last updated on 12/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1309005OTHERNEW YORKMEDICINE AND SURGERY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.