Organization
GRAND FAMILY IMMEDIATE MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM BENCHABBAT (SOLE PROPRIETOR)
(718) 218-8357
Entity
Organization
Contact information
Practice address
678 GRAND ST, BROOKLYN, NY 11211-4937
(718) 218-8357
Mailing address
678 GRAND ST, BROOKLYN, NY 11211-4937
(718) 218-8357
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
1825141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332223
—
NY
Enumeration date
12/27/2006
Last updated
01/08/2008
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