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STARRETT CITY MEDICAL OF NEW YORK LLC NPI 1043752785


NPI Information

NPI: 1043752785
Provider Name: STARRETT CITY MEDICAL OF NEW YORK LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 33D2157739

Address:
924 FLATBUSH AVE
BROOKLYN, NY
ZIP 11226
Phone: (718) 301-1100
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STARRETT CITY MEDICAL OF NEW YORK LLC is a vascular surgery surgery in Brooklyn, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. STARRETT CITY MEDICAL OF NEW YORK LLC NPI is 1043752785. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

924 FLATBUSH AVE
BROOKLYN, NY
ZIP 11226-018
Phone: (718) 301-1100
Fax: (224) 246-8042

The provider's authorized official is Flora Katsnelson .
The authorized official title is Director and has the following contact phone number (847) 257-1244.

The CLIA number assigned to this NPI record is 33D2157739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2016 and was last updated on 11/11/2016.


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
12086S0129XSurgeryVascular SurgeryYes

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

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