CHURCH-MCDONALD MEDICAL DIAGNOSTIC PLLC NPI 1700234358

NPI Information

NPI: 1700234358
Provider Name: CHURCH-MCDONALD MEDICAL DIAGNOSTIC PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
486 MCDONALD AVE
BROOKLYN, NY
ZIP 11432
Phone: (352) 399-5085
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CHURCH-MCDONALD MEDICAL DIAGNOSTIC PLLC is a pain clinic center in Brooklyn, NY. CHURCH-MCDONALD MEDICAL DIAGNOSTIC PLLC NPI is 1700234358. The provider is registered as an organization entity type.

The provider's business location address is:

486 MCDONALD AVE
BROOKLYN, NY
ZIP 11432
Phone: (352) 399-5085
Fax: (866) 402-3481

The provider's authorized official is Tina Shallonis .
The authorized official title is Billing Manager and has the following contact phone number (352) 399-5085.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	239768	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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