21St Avenue Medical Plaza Pc in Brooklyn - Family Medicine
21St Avenue Medical Plaza Pc - NPI 1134256761
21St Avenue Medical Plaza Pc is a Family Medicine in Brooklyn, New York. 21St Avenue Medical Plaza Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for 21St Avenue Medical Plaza Pc is 1134256761. The last update date is 2023-03-07.
21St Avenue Medical Plaza Pc's current location address is 2101 E 16th St, Brooklyn, New York. You can contact this provider via phone number 7182669779 and fax number 7186456600. The mailing address for 21St Avenue Medical Plaza Pc is 2101 E 16th St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 21St Avenue Medical Plaza Pc |
|---|---|
| Address | 2101 E 16th St, Brooklyn, New York |
| Phone Number | 7182669779 |
| Fax Number | 7186456600 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Ovshaev Samira |
| Credentials | D.O. |
| Telephone Number | 7182669779 |
NPI Number Detail
| NPI Number | 1134256761 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2101 E 16th St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112294401 |
| Phone Number | 7182669779 |
| Fax Number | 7186456600 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 219865 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1681P2 | NY | EMPIRE BCBS | |
| 219865 | NY | LICENSE | |
| 2263427 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to 21St Avenue Medical Plaza Pc by the Centers for Medicare & Medicaid Services?
The 21St Avenue Medical Plaza Pc has been issued the NPI (National Provider Identifier) 1134256761 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where 21St Avenue Medical Plaza Pc is physically located?
The 21St Avenue Medical Plaza Pc is physically situated at the following address: 2101 E 16Th St, Brooklyn, NY, 112294401.
What is 21St Avenue Medical Plaza Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The 21St Avenue Medical Plaza Pc's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1134256761 assigned to 21St Avenue Medical Plaza Pc?
The 21St Avenue Medical Plaza Pc was issued its 1134256761 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to 21St Avenue Medical Plaza Pc most recently updated or revised?
The information pertaining to 21St Avenue Medical Plaza Pc, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.