# IMPACT CARE MEDICAL SERVICES PA NORTH PC

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

## Provider details

- **NPI number:** 1811832140
- **Authorized official:** ELI WERCBERGER (MANAGER)
- **Authorized official phone:** (718) 964-6161

## Contact information

- **Practice address:** 250 SKILLMAN ST STE 202, BROOKLYN, NY 11205-1218
- **Practice address phone:** (718) 964-6161
- **Mailing address:** 250 SKILLMAN ST STE 202, BROOKLYN, NY 11205-1218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2026
- **Last updated:** 04/22/2026