ST. NICHOLAS MEDICAL PC NPI 1912192394

NPI Information

ST. NICHOLAS MEDICAL PC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ST. NICHOLAS MEDICAL PC NPI is 1912192394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 SAINT NICHOLAS AVE
BROOKLYN, NY
ZIP 11237-474
Phone: (718) 418-8368
Fax: (718) 418-8716

The provider's authorized official is Myat San .
The authorized official title is President and has the following contact phone number (718) 418-8368.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 10/9/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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