Organization
PROXI MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GRINKO MD (AUTHORIZED REP/OWNER)
(718) 756-4000
Entity
Organization
Contact information
Practice address
1665 BEDFORD AVE, BROOKLYN, NY 11225-2023
(718) 756-4000
(718) 756-4003
Mailing address
1665 BEDFORD AVE, BROOKLYN, NY 11225-2023
(718) 756-4000
(718) 756-4003
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04193495
—
NY
Enumeration date
08/05/2015
Last updated
10/12/2015
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