Organization
ADULT AND GERIATRIC MEDICAL CARE PC
Active
Organization
ADULT AND GERIATRIC MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LEVINA MD (PRESIDENT)
(917) 609-5537
Entity
Organization
Contact information
Practice address
4802 10TH AVE FL 10, BROOKLYN, NY 11219-2916
(917) 609-5537
(718) 630-3761
Mailing address
157 BEAUMONT ST, BROOKLYN, NY 11235-4118
(917) 609-4748
(718) 630-3761
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
234232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03416084
—
NY
Enumeration date
03/20/2007
Last updated
09/20/2022
Update your record
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