| Greater Brooklyn Gastroenterology Care Pc | |
|
3621 Glenwood Rd Brooklyn NY 11210-1944 | |
| (718) 434-0202 | |
| Not Available |
| Full Name | Greater Brooklyn Gastroenterology Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3621 Glenwood Rd, Brooklyn, New York |
| Authorized Official Name and Position | Michel Jose Charles (PRESIDENT) |
| Authorized Official Contact | 7184340202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Brooklyn Gastroenterology Care Pc 157 Saint Pauls Rd N Hempstead NY 11550-1133 Ph: (718) 869-1501 | Greater Brooklyn Gastroenterology Care Pc 3621 Glenwood Rd Brooklyn NY 11210-1944 Ph: (718) 434-0202 |
| NPI Number | 1457652901 |
|---|---|
| Provider Enumeration Date | 11/14/2010 |
| Last Update Date | 05/01/2019 |
| Medicare PECOS PAC ID | 2769656016 |
|---|---|
| Medicare Enrollment ID | O20111122000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457652901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 196901 (New York) | Primary |
| Provider Name | Michel Jose Charles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598711459 PECOS PAC ID: 9032260955 Enrollment ID: I20090706000218 |
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