Organization
FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITZI ANGELA REID M.D. (OWNER)
(718) 469-8492
Entity
Organization
Contact information
Practice address
941 OCEAN AVE, BROOKLYN, NY 11226-6715
(718) 469-8492
Mailing address
941 OCEAN AVE, BROOKLYN, NY 11226-6715
(718) 469-8492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
168135
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100027817201
UNITED HEALTHCARE
NY
01
—
5996296
GHI
NY
01
—
BKX033002
AMERICHOICE OF NEW YORK
NY
01
—
P3507562
0XFORD HEALTH PLAN
NY
Enumeration date
02/08/2007
Last updated
08/22/2020
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