EVERGREEN FAMILY MEDICAL SERVICESP.C. NPI 1891761243

NPI Information

EVERGREEN FAMILY MEDICAL SERVICES,P.C. 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. EVERGREEN FAMILY MEDICAL SERVICES,P.C. NPI is 1891761243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

743 58TH ST
BROOKLYN, NY
ZIP 11220-916
Phone: (718) 765-0088
Fax: (718) 567-8208

The provider's authorized official is Raymond Chan .
The authorized official title is Medical Diretor and has the following contact phone number (718) 765-0088.

The CLIA number assigned to this NPI record is 33D1054483 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2006 and was last updated on 10/1/2012.

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:

Other Identifiers

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