National Provider Identifier Database

EXECUTIVE HEALTH MEDICAL CARE PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

EXECUTIVE HEALTH MEDICAL CARE, PC
2433 86TH STREET
BROOKLYN, NY11214
Phone: 718-265-2424
Fax: 718-265-4344
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for EXECUTIVE HEALTH MEDICAL CARE, PC

NPI Number 1669571675
Legal business name
LBN
EXECUTIVE HEALTH MEDICAL CARE, PC
Authorized official MARVIN BUTTERMAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/22/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 523006

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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