# PM MEDICAL PC

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

## Provider details

- **NPI number:** 1801220629
- **Authorized official:** PAUL MCCLUNG MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 671-8606

## Contact information

- **Practice address:** 4924 AVENUE K, BROOKLYN, NY 11234-2128
- **Practice address phone:** (929) 333-9376
- **Mailing address:** 4924 AVE. K, BROOKLYN, NY 11234
- **Mailing address phone:** (929) 333-9376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 188795 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2013
- **Last updated:** 08/28/2013