| Latifi Medical, PLLC | |
|
506 6th St Brooklyn NY 11215-3609 | |
| (718) 780-3000 | |
| Not Available |
| Full Name | Latifi Medical, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 506 6th St, Brooklyn, New York |
| Authorized Official Name and Position | Amir Latifi (OFFICER) |
| Authorized Official Contact | 6462585092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latifi Medical, PLLC 160 E 84th St New York NY 10028-2008 Ph: (646) 258-5092 | Latifi Medical, PLLC 506 6th St Brooklyn NY 11215-3609 Ph: (718) 780-3000 |
| NPI Number | 1255505046 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 9032289327 |
|---|---|
| Medicare Enrollment ID | O20080529000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255505046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 239087 (New York) | Primary |
| Provider Name | Amir Latifi-m-tehrani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972791150 PECOS PAC ID: 0446320733 Enrollment ID: I20080529000179 |
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