# PRIVEN MEDICAL PLLC

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

## Provider details

- **NPI number:** 1982887717
- **Authorized official:** DR. IGOR PRIVEN M.D. (PRESIDENT)
- **Authorized official phone:** (718) 986-6443

## Contact information

- **Practice address:** 2114 GRAVESEND NECK RD, BROOKLYN, NY 11229-4810
- **Practice address phone:** (718) 891-8790
- **Mailing address:** 345 ROUTE 9, SUITE 8, MANALAPAN, NJ 07726-3239
- **Mailing address phone:** (718) 986-6443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 220133 | NY | Yes |

## Other

- **Enumeration date:** 12/15/2007
- **Last updated:** 10/17/2008