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Organization
JERICHO MEDICAL CARE PC
Active
Organization
JERICHO MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN PRESCOTT M.D. (PRESIDENT)
(718) 676-2698
Entity
Organization
Contact information
Practice address
174 BAY 29TH ST # C2, BROOKLYN, NY 11214-5020
(718) 676-2698
Mailing address
174 BAY 29TH ST # C2, BROOKLYN, NY 11214-5020
(718) 676-2698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1850711
NY
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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