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AMERICAN COMPREHENSIVE HEALTHCARE MEDICAL GROUP NPI 1174928378


NPI Information

NPI: 1174928378
Provider Name: AMERICAN COMPREHENSIVE HEALTHCARE MEDICAL GROUP
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
5205-7 CHURCH AVENUE
BROOKLYN, NY
ZIP 11203
Phone: (718) 688-8088
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AMERICAN COMPREHENSIVE HEALTHCARE MEDICAL GROUP is an obstetrics gynecology in Brooklyn, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. AMERICAN COMPREHENSIVE HEALTHCARE MEDICAL GROUP NPI is 1174928378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5205-7 CHURCH AVENUE
BROOKLYN, NY
ZIP 11203-513
Phone: (718) 688-8088
Fax: (718) 688-8018

The provider's authorized official is Kelvin K Jack .
The authorized official title is President and has the following contact phone number (718) 688-8088.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 10/30/2014.


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
1207V00000XObstetrics & Gynecology002201NEW 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
1002201OTHERNEW YORKLICENSE
2A400033397MEDICARE UPINNEW YORK
3002778018MEDICAIDNEW YORK

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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