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WASHINGTON AVE MEDICAL OFFICE PC NPI 1295744258


NPI Information

NPI: 1295744258
Provider Name: WASHINGTON AVE MEDICAL OFFICE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
778 WASHINGTON AVENUE
BROOKLYN, NY
ZIP 11238
Phone: (718) 399-7649
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WASHINGTON AVE MEDICAL OFFICE 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. WASHINGTON AVE MEDICAL OFFICE PC NPI is 1295744258. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

778 WASHINGTON AVENUE
BROOKLYN, NY
ZIP 11238
Phone: (718) 399-7649
Fax: (718) 872-6295

The provider's authorized official is Desmond Browne .
The authorized official title is Managing Employee and has the following contact phone number (718) 399-7649.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/16/2010.


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
1207Q00000XFamily Medicine226726NEW 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
102361397MEDICAIDNEW YORK
2H82734MEDICARE UPINNEW YORK
36523984OTHERNEW YORKCIGNA

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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