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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

NPI # 1942352687
LBN Legal business name EXECUTIVE HEALTH MEDICAL CARE PC
Authorized official HELEN SHAKH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY Medicaid 02585775
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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