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Contact Information

EXECUTIVE HEALTH MEDICAL CARE PC
7901 BAY PARKWAY
SUITE 1B
BROOKLYN, NY11214
 Phone: 718-236-1222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EXECUTIVE HEALTH MEDICAL CARE PC · (Female)

NPI # 1942352687
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 02585775
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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