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Organization
WILLIAMSBURG MEDICAL CARE PC
Active
Organization
WILLIAMSBURG MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER CHACON MD (OWNER)
(718) 302-2126
Entity
Organization
Contact information
Practice address
155 POWERS ST, BROOKLYN, NY 11211-4973
(718) 302-2126
(718) 392-2128
Mailing address
155 POWERS ST, BROOKLYN, NY 11211-4973
(718) 302-2126
(718) 392-2128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
215832
NY
207R00000X
Internal Medicine Physician
225308
NY
225100000X
Physical Therapist
023838
NY
Other
Enumeration date
03/19/2008
Last updated
05/06/2008
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