| SP Medical Services PA | |
|
481 Wythe Ave Ste 102 Brooklyn NY 11249-6184 | |
| (866) 702-1494 | |
| Not Available |
| Full Name | SP Medical Services PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 481 Wythe Ave Ste 102, Brooklyn, New York |
| Authorized Official Name and Position | Steven W Powell (OWNER) |
| Authorized Official Contact | 6038283759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| SP Medical Services PA 481 Wythe Ave Brooklyn NY 11249-6183 Ph: (866) 702-1494 | SP Medical Services PA 481 Wythe Ave Ste 102 Brooklyn NY 11249-6184 Ph: (866) 702-1494 |
| NPI Number | 1093443335 |
|---|---|
| Provider Enumeration Date | 08/14/2022 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093443335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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