PHYSIO LOGIC MEDICINE P.C. NPI 1013293588

NPI Information

PHYSIO LOGIC MEDICINE, P.C. is a multi-specialty clinic center in Brooklyn, NY. PHYSIO LOGIC MEDICINE, P.C. NPI is 1013293588. The provider is registered as an organization entity type.

The provider's business location address is:

409 FULTON STREET
2ND FLOOR
BROOKLYN, NY
ZIP 11201
Phone: (718) 260-1000
Fax: (718) 260-0072

The provider's authorized official is Jonathann C Kuo .
The authorized official title is President and has the following contact phone number (718) 260-1000.

The CLIA number assigned to this NPI record is 33D2031949 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2011 and was last updated on 4/8/2015.

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:

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