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SPECIAL MEDICAL PC NPI 1548700925


NPI Information

NPI: 1548700925
Provider Name: SPECIAL MEDICAL PC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
699 B STANLEY AVENUE
BROOKLYN, NY
ZIP 11207
Phone: (917) 554-5735
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SPECIAL MEDICAL PC is an adult medicine family medicine in Brooklyn, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SPECIAL MEDICAL PC NPI is 1548700925. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

699 B STANLEY AVENUE
BROOKLYN, NY
ZIP 11207
Phone: (917) 554-5735
Fax: (347) 689-8860

The provider's authorized official is Ilya Kleyn .
The authorized official title is President and has the following contact phone number (917) 554-5735.

The enumeration date for this NPI number is 3/3/2017 and was last updated on 3/6/2017.


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
1207QA0505XFamily MedicineAdult Medicine215006NEW YORKYes

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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