HEALTH REVIVAL MEDICAL PC NPI 1093742900

NPI Information

HEALTH REVIVAL MEDICAL PC is a family medicine in Brooklyn, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEALTH REVIVAL MEDICAL PC NPI is 1093742900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

HEALTH REVIVAL MEDICAL PC
162 BRIGHTON STREET
BROOKLYN, NY
ZIP 11235-237
Phone: (718) 891-8822
Fax: (718) 891-8823

The provider's authorized official is Larisa Veksman .
The authorized official title is Medical Director and has the following contact phone number (718) 891-8822.

The CLIA number assigned to this NPI record is 33D1012965 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 8/22/2020.

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:

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