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RICHMOND ENDOCRINOLOGY DIABETES PC NPI 1265572887


NPI Information

NPI: 1265572887
Provider Name: RICHMOND ENDOCRINOLOGY DIABETES PC

Doing Business As: MIROSLAWA KUDEJ M.D.

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 33D2064261

Address:
934 MANHATTAN AVE
BROOKLYN, NY
ZIP 11222
Phone: (718) 389-8585
Get Directions

RICHMOND ENDOCRINOLOGY DIABETES PC is an endocrinology and diabetes and metabolism internal medicine in Brooklyn, NY. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. RICHMOND ENDOCRINOLOGY DIABETES PC NPI is 1265572887. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Miroslawa Kudej M.d..

The provider's business location address is:

934 MANHATTAN AVE
BROOKLYN, NY
ZIP 11222-915
Phone: (718) 389-8585

The provider's authorized official is Miroslawa Kudej .
The authorized official title is President and has the following contact phone number (917) 538-6908.

The CLIA number assigned to this NPI record is 33D2064261 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 3/8/2010.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism205788NEW YORKYes

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
168Y972MEDICARE UPINNEW YORK
201737659MEDICAIDNEW 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: 4/28/2024

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