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Organization
MANANA PETROV PRIMARY MEDICAL CARE, PC
Active
Organization
MANANA PETROV PRIMARY MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANANA PETROV MD (DIRECTOR)
(718) 850-6345
Entity
Organization
Contact information
Practice address
353 OCEAN AVENUE, BROOKLYN, NY 11226-1308
(718) 850-6345
(718) 559-4895
Mailing address
353 OCEAN AVENUE, BROOKLYN, NY 11226-1308
(718) 940-2100
(718) 940-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
10/02/2008
Last updated
01/12/2009
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