Organization
BRASIL AND SHININ PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY PEREIRA BRASIL KOLICH MD (PARTNER OF ORGANIZATION)
(631) 745-5847
Entity
Organization
Contact information
Practice address
33 MEDFORD AVENUE, SUITE E, PATCHOGUE, NY 11772-1225
(631) 207-4200
(631) 205-2750
Mailing address
33 MEDFORD AVENUE, SUITE E, PATCHOGUE, NY 11772-1225
(631) 207-4200
(631) 205-2750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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