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Individual

DR. FERRELL A MOTLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3414 CHURCH AVE, CARRIBEAN AMERICAN FAMILY HEALTH CENTER, BROOKLYN, NY 11203-2714
(718) 940-9425
Mailing address
5800 3RD AVE, MANAGED CARE DEPARTMENT, BROOKLYN, NY 11220-3702
(718) 630-7477
(718) 630-7437

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224549
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02406164
NY
Enumeration date
09/15/2006
Last updated
07/08/2007
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