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PDI MEDICAL PC NPI 1295014553


NPI Information

NPI: 1295014553
Provider Name: PDI MEDICAL PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
544 PARK AVE STE 600
BROOKLYN, NY
ZIP 11205
Phone: (646) 924-7211
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PDI 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. PDI MEDICAL PC NPI is 1295014553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

544 PARK AVE STE 600
BROOKLYN, NY
ZIP 11205-600
Phone: (646) 924-7211

The provider's authorized official is Mark V Burke .
The authorized official title is Treasurer and has the following contact phone number (646) 921-7211.

The enumeration date for this NPI number is 8/4/2011 and was last updated on 8/4/2011.


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
1204R00000XElectrodiagnostic MedicineNo
2207R00000XInternal MedicineNo
3207T00000XNeurological SurgeryNo
42085R0202XRadiologyDiagnostic RadiologyNo
5207Q00000XFamily 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
1191751OTHERNEW YORKLICENSE
2G59514MEDICARE UPINNEW 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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