Organization
BROOKLYN COMPREHENSIVE CARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED I AHMED (CEO)
(917) 364-0801
Entity
Organization
Contact information
Practice address
4711 CHURCH AVE, BROOKLYN, NY 11203-3209
(917) 364-0801
(516) 629-6258
Mailing address
4711 CHURCH AVE, BROOKLYN, NY 11203-3209
(917) 364-0801
(516) 629-6258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
234776
NY
207QA0505X
Adult Medicine Physician
234776
NY
207R00000X
Internal Medicine Physician
234776
NY
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
234776
NY
Other
Enumeration date
08/29/2010
Last updated
01/12/2012
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