# FOSTER HEALTH MEDICAL, P.C.

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

## Provider details

- **NPI number:** 1134381916
- **Authorized official:** GRACIA L MAYARD M.D. (PRESIDENT)
- **Authorized official phone:** (718) 851-4900

## Contact information

- **Practice address:** 202 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2119
- **Practice address phone:** (718) 851-4900
- **Practice address fax:** (718) 851-4998
- **Mailing address:** 202 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2119
- **Mailing address phone:** (718) 851-4900
- **Mailing address fax:** (718) 851-4998

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 07/02/2008