DYNASTY FIRST MEDICAL PC NPI 1881883874

NPI Information

  • NPI: 1881883874
  • Provider Name: DYNASTY FIRST MEDICAL PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2501 86TH ST
    BROOKLYN, NY
    ZIP 11214
  • Phone: (718) 333-2500

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NPI Details

DYNASTY FIRST MEDICAL PC is a general practice in Brooklyn, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DYNASTY FIRST MEDICAL PC NPI is 1881883874. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2501 86TH ST
BROOKLYN, NY
ZIP 11214-414
Phone: (718) 333-2500
Fax: (718) 333-2835

The provider's authorized official is Arkadiy Shusterman .
The authorized official title is Medical Director and has the following contact phone number (718) 333-2500.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 10/16/2007.

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
1208D00000XGeneral Practice217079NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WAA041MEDICARE PINNEW 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

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