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Organization
MIDWOOD COMPLETE MEDICAL PC
Active
Organization
MIDWOOD COMPLETE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARCISSE VERSAILLES MD (PRESIDENT)
(718) 421-9630
Entity
Organization
Contact information
Practice address
1723 ELM AVE, BROOKLYN, NY 11230-5306
(718) 421-9630
(718) 998-9059
Mailing address
1723 ELM AVE, BROOKLYN, NY 11230-5306
(718) 421-9630
(718) 998-9059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
126720-1
NY
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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