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Organization
EXECUTIVE MEDICAL CARE,P.C.
Active
Organization
EXECUTIVE MEDICAL CARE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY LUGINA D.O. (PRESIDENT , MEDICAL DIRECTOR)
(646) 270-8647
Entity
Organization
Contact information
Practice address
3049 BRIGHTON 6TH STREET, UNIT CU 1, BROOKLYN, NY 11235-6409
(718) 934-0322
(718) 934-0994
Mailing address
42 GOODALL ST, STATEN ISLAND, NY 10308-3396
(646) 270-8647
(718) 891-7542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222476
NY
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
04/19/2007
Last updated
07/26/2024
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