Organization
HEALTH REVIVAL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA VEKSMAN MD (MEDICAL DIRECTOR)
(718) 891-8822
Entity
Organization
Contact information
Practice address
HEALTH REVIVAL MEDICAL PC, 162 BRIGHTON STREET, BROOKLYN, NY 11235-5237
(718) 891-8822
(718) 891-8823
Mailing address
21 GOODAL STREET, BROOKLYN, NY 10308-3325
(718) 891-8822
(718) 891-8823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223381
NY
Other
Enumeration date
06/27/2006
Last updated
08/22/2020
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