Organization
CROSS COUNTY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDAH AZRIEL CHARNOFF MD (PRESIDENT)
(718) 859-5843
Entity
Organization
Contact information
Practice address
1262 OCEAN PKWY, BROOKLYN, NY 11230-5102
(718) 859-5843
(718) 859-6284
Mailing address
1262 OCEAN PKWY, BROOKLYN, NY 11230-5102
(718) 859-5843
(718) 859-6284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5506981
GHI
—
Enumeration date
08/30/2005
Last updated
12/06/2007
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