| Monogram Medical, PC | |
|
1913 Avenue Z Brooklyn NY 11235-3408 | |
| (718) 934-6661 | |
| (718) 891-1417 |
| Full Name | Monogram Medical, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1913 Avenue Z, Brooklyn, New York |
| Authorized Official Name and Position | Lance I Austein (PRESIDENT) |
| Authorized Official Contact | 7189346661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Medical, PC 1913 Avenue Z Brooklyn NY 11235-3408 Ph: (718) 934-6661 | Monogram Medical, PC 1913 Avenue Z Brooklyn NY 11235-3408 Ph: (718) 934-6661 |
| NPI Number | 1619206364 |
|---|---|
| Provider Enumeration Date | 12/09/2009 |
| Last Update Date | 12/09/2009 |
| Medicare PECOS PAC ID | 9335289867 |
|---|---|
| Medicare Enrollment ID | O20091215000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619206364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Lance I Austein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366430969 PECOS PAC ID: 7911919394 Enrollment ID: I20060629000337 |
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