21ST AVENUE MEDICAL PLAZA PC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1134256761- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2101 E 16TH ST, BROOKLYN, NY, 112294401
- Phone
- (718) 266-9779
- Fax
- (718) 645-6600
Specialties & Taxonomies
Physical Medicine & Rehabilitation
License: NY #208817
Unknown
License: NY #219865
Family Medicine
Primary License: NY #219865