# SOTA MEDICAL SERVICES PC

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

## Provider details

- **NPI number:** 1174664940
- **Authorized official:** THERESE A MALCOLM (SOLE PROPRIETER)
- **Authorized official phone:** (718) 469-0033

## Contact information

- **Practice address:** 1416 BEVERLEY RD, BROOKLYN, NY 11226-4514
- **Practice address phone:** (718) 469-0033
- **Mailing address:** 1416 BEVERLEY RD, BROOKLYN, NY 11226-4514
- **Mailing address phone:** (718) 469-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 6061762 | NY | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020