| Flatbush Medical Plaza, P.c. | |
|
1468 Flatbush Ave. Brooklyn NY 11210 | |
| (917) 966-2700 | |
| (917) 966-2703 |
| Full Name | Flatbush Medical Plaza, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 1468 Flatbush Ave., Brooklyn, New York |
| Authorized Official Name and Position | Grigory Shtender (PRESIDENT) |
| Authorized Official Contact | 9179662700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flatbush Medical Plaza, P.c. 1468 Flatbush Ave. Brooklyn NY 11210 Ph: (917) 966-2700 | Flatbush Medical Plaza, P.c. 1468 Flatbush Ave. Brooklyn NY 11210 Ph: (917) 966-2700 |
| NPI Number | 1003225038 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003225038 | NPI | - | NPPES |
| 218261 | Other | NY | LICENCE |
| 02090619 | Medicaid | NY | |
| 25MA07870200 | Other | NJ | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 218261 (New York) | Primary |
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