Organization
IT MEDICAL ESSENCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR A TALIS M.D., D.O. (PRESIDENT)
(718) 934-2211
Entity
Organization
Contact information
Practice address
2995 OCEAN PKWY, BROOKLYN, NY 11235-8387
(718) 934-2211
(718) 934-2225
Mailing address
2728 KINGS HWY, APT. F11, BROOKLYN, NY 11229-1768
(718) 934-2211
(718) 934-2225
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
253007
NY
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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