| North Eastern Network Ipa | |
|
86 East 49th Street Brooklyn NY 11203 | |
| (718) 807-4195 | |
| (718) 363-6879 |
| Full Name | North Eastern Network Ipa |
|---|---|
| Speciality | Internal Medicine |
| Location | 86 East 49th Street, Brooklyn, New York |
| Authorized Official Name and Position | Henry Robert Paul (PRESIDENT / CEO) |
| Authorized Official Contact | 9149530434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Eastern Network Ipa 86 East 49th Street Brooklyn NY 11203 Ph: (718) 807-4195 | North Eastern Network Ipa 86 East 49th Street Brooklyn NY 11203 Ph: (718) 807-4195 |
| NPI Number | 1508013756 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508013756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 209800000X | Legal Medicine | () | Secondary |
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