Organization
PROMEDA MEDICAL AND DIAGNOSTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDALLA ISHAG ADAM M.D. (MEDICAL DIRECTOR)
(718) 333-0275
Entity
Organization
Contact information
Practice address
2678 GERRITSEN AVE, BROOKLYN, NY 11229-5947
(718) 333-0275
Mailing address
2678 GERRITSEN AVE, BROOKLYN, NY 11229-5947
(718) 333-0275
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2419811
NY
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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