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Organization
JANICE PRIME CARE MEDICAL PC
Active
Organization
JANICE PRIME CARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEENAL SHUKLA MD (PRESIDENT JANICE PRIME CARE MEDICAL)
(516) 708-7008
Entity
Organization
Contact information
Practice address
1530 BEDFORD AVE FL 3, BROOKLYN, NY 11216-4117
(718) 400-6951
(347) 789-9300
Mailing address
14 KRISTI DRIVE, JERICHO, NY 11753
(516) 708-7008
(134) 746-4085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03313595
—
NY
Enumeration date
04/24/2007
Last updated
02/16/2022
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