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Organization
MEDCARE, LLC
Active
Organization
MEDCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIYA KEISSERMAN (OWNER/ADMINISTRATOR)
(718) 399-6234
Entity
Organization
Contact information
Practice address
468 LAFAYETTE AVE, BROOKLYN, NY 11205-4809
(718) 399-6234
(718) 399-3516
Mailing address
468 LAFAYETTE AVE, BROOKLYN, NY 11205-4809
(718) 399-6234
(718) 399-3516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV006926
NY
207Q00000X
Family Medicine Physician
Primary
219313
NY
207R00000X
Internal Medicine Physician
218384
NY
207RC0000X
Cardiovascular Disease Physician
127692
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
174588
NY
207V00000X
Obstetrics & Gynecology Physician
233517
NY
213E00000X
Podiatrist
N006039
NY
225100000X
Physical Therapist
026957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03010506
—
NY
Enumeration date
02/27/2007
Last updated
04/07/2015
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