EAW MEDICAL CARE PLLC NPI 1073778916

NPI Information

NPI: 1073778916
Provider Name: EAW MEDICAL CARE PLLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
612 SCHENECTADY AVE
BROOKLYN, NY
ZIP 11203
Phone: (917) 207-6792
Get Directions

EAW MEDICAL CARE PLLC is a geriatric medicine internal medicine in Brooklyn, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. EAW MEDICAL CARE PLLC NPI is 1073778916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 SCHENECTADY AVE
BROOKLYN, NY
ZIP 11203-821
Phone: (917) 207-6792

The provider's authorized official is Everton Prospere .
The authorized official title is Medical Doctor and has the following contact phone number (917) 207-6792.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 4/17/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	226783	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A100000916	MEDICARE PIN	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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