# EX LS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013140789
- **Authorized official:** LYUDMILA M SLUPSKY (INTERNAL MEDICINE)
- **Authorized official phone:** (718) 615-9000

## Contact information

- **Practice address:** 2626 E 14TH ST STE 207, BROOKLYN, NY 11235-3977
- **Practice address phone:** (718) 615-9000
- **Mailing address:** 2626 E 14TH ST STE 207, BROOKLYN, NY 11235-3977
- **Mailing address phone:** (718) 615-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2009
- **Last updated:** 09/17/2009
