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INTERFAITH PROFESSIONAL PHYSICIAN SERVICES P.C. NPI 1457643991


NPI Information

NPI: 1457643991
Provider Name: INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
1545 ATLANTIC AVENUE
FACULTY PRACTICE
BROOKLYN, NY
ZIP 11213
Phone: (718) 613-4708
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INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C. is an allergy allergy immunology in Brooklyn, NY. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C. NPI is 1457643991. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1545 ATLANTIC AVENUE
FACULTY PRACTICE
BROOKLYN, NY
ZIP 11213-122
Phone: (718) 613-4708
Fax: (718) 613-4101

The provider's authorized official is Gary Stephens .
The authorized official title is President and has the following contact phone number (718) 613-6588.

The enumeration date for this NPI number is 5/3/2011 and was last updated on 9/28/2021.


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
1207L00000XAnesthesiologyNo
2207N00000XDermatologyNo
3207R00000XInternal MedicineNo
4207VG0400XObstetrics & GynecologyGynecologyNo
5207X00000XOrthopaedic SurgeryNo
6207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
7208000000XPediatricsNo
8208100000XPhysical Medicine & RehabilitationNo
9208200000XPlastic SurgeryNo
102085R0202XRadiologyDiagnostic RadiologyNo
11208600000XSurgeryNo
12208800000XUrologyNo
13207KA0200XAllergy & ImmunologyAllergyYes

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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