Organization
BLUE NILE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEBHATU GEBREZGI MD (OWNER)
(718) 272-0977
Entity
Organization
Contact information
Practice address
9408 FLATLANDS AVE, BROOKLYN, NY 11236-3742
(718) 272-0977
(718) 272-1088
Mailing address
9408 FLATLANDS AVE, BROOKLYN, NY 11236-3742
(718) 272-0977
(718) 272-1088
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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