Organization
FOREST MEDCARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERZY WAWERSKI M.D. (M.D.)
(718) 381-3766
Entity
Organization
Contact information
Practice address
5702 11TH AVE, BROOKLYN, NY 11219-4507
(718) 435-5830
(718) 437-5003
Mailing address
5702 11TH AVE, BROOKLYN, NY 11219-4507
(718) 435-5830
(718) 437-5003
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
204587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02131684
—
NY
Enumeration date
11/14/2006
Last updated
07/30/2008
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