Organization
IDEAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA GELLER M.D. (AUTHORIZED OFFICIAL)
(718) 552-5685
Entity
Organization
Contact information
Practice address
2519 AVENUE U, BROOKLYN, NY 11229-4934
(718) 743-8900
Mailing address
2519 AVENUE U, BROOKLYN, NY 11229-4934
(718) 743-8900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227347
LICENSE
NY
Enumeration date
01/16/2013
Last updated
01/22/2013
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