# SPECIAL MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548700925
- **Authorized official:** ILYA KLEYN M.D. (PRESIDENT)
- **Authorized official phone:** (212) 571-5000

## Contact information

- **Practice address:** 699 B STANLEY AVENUE, BROOKLYN, NY 11207
- **Practice address phone:** (347) 689-8880
- **Practice address fax:** (347) 689-8860
- **Mailing address:** 225 BROADWAY STE 910, NEW YORK, NY 10007-3008
- **Mailing address phone:** (212) 571-5000
- **Mailing address fax:** (347) 689-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 215006 | NY | Yes |

## Other

- **Enumeration date:** 03/03/2017
- **Last updated:** 03/16/2025