| Eastern Brooklyn Ipa Llc | |
|
16405 Hillside Ave Jamaica NY 11432-4140 | |
| (718) 658-2448 | |
| Not Available |
| Full Name | Eastern Brooklyn Ipa Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 16405 Hillside Ave, Jamaica, New York |
| Authorized Official Name and Position | Camille Philippe (MBR) |
| Authorized Official Contact | 7186582448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Brooklyn Ipa Llc 16405 Hillside Ave Jamaica NY 11432-4140 Ph: (718) 658-2448 | Eastern Brooklyn Ipa Llc 16405 Hillside Ave Jamaica NY 11432-4140 Ph: (718) 658-2448 |
| NPI Number | 1376774513 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 08/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376774513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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