# NOSTRAND COMMUNITY MEDICAL P.C.

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

## Provider details

- **NPI number:** 1063424505
- **Authorized official:** DR. ISMAIL M ELHAM M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 769-4988

## Contact information

- **Practice address:** 2968 AVENUE X, BROOKLYN, NY 11235-1808
- **Practice address phone:** (718) 769-7988
- **Practice address fax:** (718) 769-4415
- **Mailing address:** 2968 AVENUE X, BROOKLYN, NY 11235-1808
- **Mailing address phone:** (718) 769-4988
- **Mailing address fax:** (718) 769-4415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 226710 | NY | Yes |
| 305R00000X | Preferred Provider Organization | 226710 | NY | — |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 09/11/2025
