Unknown Individual – Internal Medicine Physician, NPI 1962407098
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
414, 78th Street, Bay Ridge, Brooklyn, Kings County, New York, Stone Street Historic District, New York, 11209, United States
BROOKLYN, NY 112093404
Phone: (718) 836-7151
Fax: (718) 836-8671
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 11209)
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