33D0960083 CLIA NUMBER - NEW GENERATION MEDICAL PRACTICE

Laboratory Demographics

CLIA Number: 33D0960083

Facility Name: NEW GENERATION MEDICAL PRACTICE

Facility Address:
1854 BEDFORD AVE
BROOKLYN, NY
ZIP 11225
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Facility Phone Number: 718 284-6667

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891089058

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	33D0960083
LAB Type	Physician Office
Facility Name	NEW GENERATION MEDICAL PRACTICE
Street	1854 BEDFORD AVE
City	BROOKLYN
State	NY
ZIP	11225
Phone	718 284-6667
CertificateType	4
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024