Organization
BROOKLYN TOTAL MEDICAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY ELLIOT WEISSBLUTH MD (OWNER)
(718) 934-1800
Entity
Organization
Contact information
Practice address
3019 AVENUE U, BROOKLYN, NY 11229-5111
(718) 934-1800
(718) 891-5208
Mailing address
3019 AVENUE U, BROOKLYN, NY 11229-5111
(718) 934-1800
(718) 891-5208
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
166454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659376119
NPI FOR JAY WEISSBLUTH
NY
Enumeration date
04/02/2009
Last updated
04/02/2009
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