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BENSONHURST MEGA MEDICAL CARE PC NPI 1871747006


NPI Information

NPI: 1871747006
Provider Name: BENSONHURST MEGA MEDICAL CARE PC
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
2761 BATH AVE SUITE B1
BROOKLYN, NY
ZIP 11214
Phone: (718) 332-9592
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BENSONHURST MEGA MEDICAL CARE PC is an adolescent medicine internal medicine in Brooklyn, NY. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BENSONHURST MEGA MEDICAL CARE PC NPI is 1871747006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2761 BATH AVE SUITE B1
BROOKLYN, NY
ZIP 11214
Phone: (718) 332-9592

The provider's authorized official is Michael Mak .
The authorized official title is Medical Director and has the following contact phone number (718) 332-9592.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/14/2008.


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
1207RA0000XInternal MedicineAdolescent Medicine211790-1NEW 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
1211790-1OTHERNEW YORKLISCENCE NY

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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