| Brtc Ni Inc | |
| 
					6315 83rd St Middle Village NY 11379-1962  | |
| (646) 269-1187 | |
| Not Available | 
| Full Name | Brtc Ni Inc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 6315 83rd St, Middle Village, New York | 
| Authorized Official Name and Position | Michael Christopher Moy (FAMILY PRACTICE) | 
| Authorized Official Contact | 7182055795 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brtc Ni Inc 6315 83rd St Middle Village NY 11379-1962 Ph: () -  | Brtc Ni Inc 6315 83rd St Middle Village NY 11379-1962 Ph: (646) 269-1187  | 
| NPI Number | 1427681782 | 
|---|---|
| Provider Enumeration Date | 02/14/2020 | 
| Last Update Date | 02/14/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427681782 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
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