Organization
BAY 29 MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHITRE NITIN PRABHAKAR MD (OWNER)
(718) 758-4520
Entity
Organization
Contact information
Practice address
174 BAY 29TH ST, BROOKLYN, NY 11214-5020
(718) 758-4520
Mailing address
174 BAY 29TH STREET, BROOKLYN, NY 11214
(718) 758-4520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002782
NY
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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