MANHATTAN BEACH INT MED PC NPI 1790870962

NPI Information

NPI: 1790870962
Provider Name: MANHATTAN BEACH INT MED PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 133A WEST END AVE
BROOKLYN, NY
ZIP 11235
Phone: (718) 743-5616

Map and Directions

Get Directions

NPI Details

MANHATTAN BEACH INT MED PC is a primary care clinic center in Brooklyn, NY. MANHATTAN BEACH INT MED PC NPI is 1790870962. The provider is registered as an organization entity type.

The provider's business location address is:

133A WEST END AVE
BROOKLYN, NY
ZIP 11235-808
Phone: (718) 743-5616
Fax: (718) 743-0893

The provider's authorized official is Milla Sokolson .
The authorized official title is Office Manager and has the following contact phone number (718) 743-5616.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/17/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	207138	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	WKW611	MEDICARE PIN	NEW YORK
2	02871727	MEDICAID	NEW YORK
3	G54654	MEDICARE UPIN	NEW 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI