ADULT AND GERIATRIC MEDICAL CARE PC NPI 1366567414

NPI Information

NPI: 1366567414
Provider Name: ADULT AND GERIATRIC MEDICAL CARE PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
4802 10TH AVE FL 10
BROOKLYN, NY
ZIP 11219
Phone: (917) 609-5537
Get Directions

ADULT AND GERIATRIC MEDICAL CARE PC is a geriatric medicine internal medicine in Brooklyn, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ADULT AND GERIATRIC MEDICAL CARE PC NPI is 1366567414. The provider is registered as an organization entity type.

The provider's business location address is:

4802 10TH AVE FL 10
BROOKLYN, NY
ZIP 11219-916
Phone: (917) 609-5537
Fax: (718) 630-3761

The provider's authorized official is Diana Levina .
The authorized official title is President and has the following contact phone number (917) 609-5537.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		234232	NEW YORK	No
2	207RG0300X	Internal Medicine	Geriatric Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03416084	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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