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Contact Information

5000 AVENUE K MEDICAL ASSOCS PC
5000 AVENUE K
BROOKLYN, NY11234-3225
 Phone: 718-968-1515
 Fax: 718-209-2295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for 5000 AVENUE K MEDICAL ASSOCS PC

NPI Number 1770707622
LBN Legal business name 5000 AVENUE K MEDICAL ASSOCS PC
Authorized official STEVEN ACKERMAN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/12/2007
Last updated 07/08/2007 - About 12 years ago
Identifiers
NY Medicaid 01178192
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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