Brentwood Medical Care, Pc in Brentwood - General Practice
Brentwood Medical Care, Pc - NPI 1417012568
Brentwood Medical Care, Pc is a General Practice in Brentwood, New York. Brentwood Medical Care, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brentwood Medical Care, Pc is 1417012568. The last update date is 2010-10-29.
Brentwood Medical Care, Pc's current location address is 55 Second Ave, Brentwood, New York. You can contact this provider via phone number 6317515588. The mailing address for Brentwood Medical Care, Pc is 55 Second Ave, Brentwood, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brentwood Medical Care, Pc |
|---|---|
| Address | 55 Second Ave, Brentwood, New York |
| Phone Number | 6317515588 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Viso J Matthew |
| Credentials | DC |
| Telephone Number | 6317515588 |
NPI Number Detail
| NPI Number | 1417012568 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2010-10-29 |
Provider Mailing Address Detail
| Address | 55 Second Ave |
|---|---|
| City | Brentwood |
| State | New York (NY) |
| Post Code | 117174611 |
| Phone Number | 6317515588 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 183817 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identifier code assigned to Brentwood Medical Care, Pc by the Centers for Medicare & Medicaid Services?
The Brentwood Medical Care, Pc has been issued the NPI (National Provider Identifier) 1417012568 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 Brentwood Medical Care, Pc is physically located?
The Brentwood Medical Care, Pc is physically situated at the following address: 55 Second Ave, Brentwood, NY, 117174611.
What is Brentwood Medical Care, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brentwood Medical Care, Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
When did the Brentwood Medical Care, Pc receive its 1417012568?
The Brentwood Medical Care, Pc was issued its 1417012568 on 2006-12-27, which is the date when the organization was assigned this unique identifier.
As of what date were the Brentwood Medical Care, Pc's details last updated?
The information pertaining to the Brentwood Medical Care, Pc, including its address, specialty, and other details, was most recently updated on 2010-10-29.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY