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E H RELIABLE MEDICAL PC NPI 1639438492


NPI Information

NPI: 1639438492
Provider Name: E H RELIABLE MEDICAL PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2041230

Address:
1946 BATH AVE
BROOKLYN, NY
ZIP 11214
Phone: (718) 996-7460
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E H RELIABLE 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. E H RELIABLE MEDICAL PC NPI is 1639438492. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1946 BATH AVE
BROOKLYN, NY
ZIP 11214
Phone: (718) 996-7460
Fax: (718) 996-7461

The provider's authorized official is Elsayed H Eldeeb .
The authorized official title is President and has the following contact phone number (718) 833-7466.

The CLIA number assigned to this NPI record is 33D2041230 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2012 and was last updated on 1/4/2019.


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 Medicine262324NEW 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
100637605MEDICAIDNEW 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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