PHYSIO LOGIC MEDICINE, P.C.; NPI #1013293588

Contact Information

PHYSIO LOGIC MEDICINE, P.C.

409 FULTON STREET
2ND FLOOR
BROOKLYN, NY 11201

Phone: 718-260-1000
Fax: 718-260-0072
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for PHYSIO LOGIC MEDICINE, P.C.

NPI Number 1013293588

LBN Legal business name PHYSIO LOGIC MEDICINE, P.C.

Authorized official JONATHANN KUO - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/28/2011

Last updated 04/08/2015 - About 11 years ago

Identifiers

License #

241732

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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