# MEDICAL CARE OF KINGSBOROUGH PC

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

## Provider details

- **NPI number:** 1982949624
- **Authorized official:** DR. EWALD ANTOINE MD (PRESIDENT)
- **Authorized official phone:** (718) 513-6440

## Contact information

- **Practice address:** 2297 CONEY ISLAND AVE, BROOKLYN, NY 11223-3337
- **Practice address phone:** (718) 513-6440
- **Practice address fax:** (718) 975-2085
- **Mailing address:** 2297 CONEY ISLAND AVE, BROOKLYN, NY 11223-3337
- **Mailing address phone:** (718) 513-6440
- **Mailing address fax:** (718) 975-2085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | Yes |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2012