58TH STREET MEDICAL, PLLC
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1548552276- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1153 58TH ST, BROOKLYN, NY, 112194526
- Phone
- (718) 431-9870
Specialties & Taxonomies
Pediatrics
Internal Medicine
Primary License: NY #162832
All Addresses
MAILING
1153 58TH ST
BROOKLYN, NY, 112194526