Organization
INTERHEALTH MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS MAZUROV M.D. (OWNER)
(718) 218-6888
Entity
Organization
Contact information
Practice address
721 FLUSHING AVE, BROOKLYN, NY 11206-4419
(718) 218-6888
Mailing address
1849 86TH ST, BROOKLYN, NY 11214-3108
(718) 218-6888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210722
NY
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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