EXECUTIVE HEALTH MEDICAL CARE, PC; NPI #1669571675

Contact Information

EXECUTIVE HEALTH MEDICAL CARE, PC

2433 86TH STREET
BROOKLYN, NY 11214

Phone: 718-265-2424
Fax: 718-265-4344
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for EXECUTIVE HEALTH MEDICAL CARE, PC

NPI Number 1669571675

LBN Legal business name EXECUTIVE HEALTH MEDICAL CARE, PC

Authorized official MARVIN BUTTERMAN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/22/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

523006

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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