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Contact Information

FIRST CARE MEDICAL GROUP PC
863 50TH STREET
SUITE M5
BROOKLYN, NY11220
 Phone: 718-686-8880
 Fax: 718-686-8891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FIRST CARE MEDICAL GROUP PC

NPI Number 1114080330
LBN Legal business name FIRST CARE MEDICAL GROUP PC
Authorized official AGNES SO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 01/15/2021 - About 5 years ago
Identifiers
NY License # 213474
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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