Organization
FOSTER HEALTH MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIA L MAYARD M.D. (PRESIDENT)
(718) 851-4900
Entity
Organization
Contact information
Practice address
202 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2119
(718) 851-4900
(718) 851-4998
Mailing address
202 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2119
(718) 851-4900
(718) 851-4998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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