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Organization
RUTLAND MEDICAL PLAZA
Active
Organization
RUTLAND MEDICAL PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER OKECHUKWU EZE (MANAGER)
(516) 652-6797
Entity
Organization
Contact information
Practice address
887 RUTLAND RD, BROOKLYN, NY 11203
(718) 756-3918
(718) 756-1684
Mailing address
3 NORMAN CT, DIX HILLS, NY 11746-5811
(631) 423-2397
(631) 643-5409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200487
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01623665
—
NY
Enumeration date
07/21/2006
Last updated
09/29/2008
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