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Organization
MMC PRIMARY CARE, FPP
Active
Organization
MMC PRIMARY CARE, FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MCENTEE (BILLING DIRECTOR)
(718) 748-6632
Entity
Organization
Contact information
Practice address
9201 4TH AVE, 2ND FLOOR, BROOKLYN, NY 11209-7006
(718) 748-1234
(718) 748-4253
Mailing address
9201 4TH AVE, 2ND FLOOR, BROOKLYN, NY 11209-7006
(718) 748-1234
(718) 748-4253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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