# GONDAL MEDICAL CARE P.C.

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

## Provider details

- **NPI number:** 1134356397
- **Authorized official:** IMTIAZ AHMAD M.D. (OWNER)
- **Authorized official phone:** (718) 693-7777

## Contact information

- **Practice address:** 731 CONEY ISLAND AVE, BROOKLYN, NY 11218-4306
- **Practice address phone:** (718) 693-7777
- **Practice address fax:** (718) 693-7770
- **Mailing address:** 731 CONEY ISLAND AVE, BROOKLYN, NY 11218-4306
- **Mailing address phone:** (718) 693-7777
- **Mailing address fax:** (718) 693-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 239419 | NY | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 06/16/2009