Organization
AVENUE U MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR FARIWA M.D. (PROVIDER)
(718) 934-9720
Entity
Organization
Contact information
Practice address
2153 E 3RD ST, BROOKLYN, NY 11223-4030
(718) 339-4607
Mailing address
2153 E 3RD ST, BROOKLYN, NY 11223-4030
(718) 339-4607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
05/28/2014
Last updated
09/10/2014
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