St. Nicholas Medical Pc in Brooklyn - Specialist

St. Nicholas Medical Pc - NPI 1912192394

St. Nicholas Medical Pc is a Specialist in Brooklyn, New York. St. Nicholas Medical Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for St. Nicholas Medical Pc is 1912192394. The last update date is 2008-10-09.

St. Nicholas Medical Pc's current location address is 115 Saint Nicholas Ave, Brooklyn, New York. You can contact this provider via phone number 7184188368 and fax number 7184188716. The mailing address for St. Nicholas Medical Pc is 115 Saint Nicholas Ave, Brooklyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization St. Nicholas Medical Pc
Address 115 Saint Nicholas Ave, Brooklyn, New York
Phone Number 7184188368
Fax Number 7184188716
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name San Myat
Credentials M.D
Telephone Number 7184188368

NPI Number Detail

NPI Number 1912192394
Provider Enumeration Date 2007-09-10
Last Updated Date 2008-10-09

Provider Mailing Address Detail

Address 115 Saint Nicholas Ave
City Brooklyn
State New York (NY)
Post Code 112373474
Phone Number 7184188368
Fax Number 7184188716

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 231830
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1925768 NY --

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FAQs about St. Nicholas Medical Pc

What is the unique 10-digit identifier code assigned to St. Nicholas Medical Pc by the Centers for Medicare & Medicaid Services?

The St. Nicholas Medical Pc has been issued the NPI (National Provider Identifier) 1912192394 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where St. Nicholas Medical Pc's facilities are situated?

The facilities of St. Nicholas Medical Pc are physically located at the following address: 115 Saint Nicholas Ave, Brooklyn, NY, 112373474.

What is St. Nicholas Medical Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for St. Nicholas Medical Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912192394 to St. Nicholas Medical Pc?

The Centers for Medicare & Medicaid Services originally issued the 1912192394 to St. Nicholas Medical Pc on 2007-09-10.

As of what date was the information regarding St. Nicholas Medical Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to St. Nicholas Medical Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-10-09.

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