Organization
IB FAMILY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR BENEDITSKIY D.O. (MEDICAL DIRECTOR)
(718) 576-1212
Entity
Organization
Contact information
Practice address
2797 OCEAN PKWY, STE 2, BROOKLYN, NY 11235-7870
(718) 576-1212
(718) 332-7110
Mailing address
3743 MERMAID AVE, 2ND FLOOR, BROOKLYN, NY 11224-1234
(718) 576-1212
(718) 332-7110
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/24/2012
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