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Organization
KRISHTUL MEDICAL GROUP, P.C.
Active
Organization
KRISHTUL MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXABDER KRISHTUL MD (MEDICAL DIRECTOR)
(866) 366-3060
Entity
Organization
Contact information
Practice address
436 86TH ST, BROOKLYN, NY 11209-4708
(718) 238-0456
(718) 238-0458
Mailing address
11 PENN PLZ, SUITE 500, NEW YORK, NY 10001-2006
(866) 366-3060
(202) 349-0354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
237383-1
NY
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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