Organization
CROSS COUNTY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH A CHARNOFF (PRESIDENT)
(718) 859-5843
Entity
Organization
Contact information
Practice address
1262 OCEAN PKWY, BROOKLYN, NY 11230-5102
(718) 859-5843
(718) 859-6250
Mailing address
1262 OCEAN PKWY, BROOKLYN, NY 11230-5102
(718) 859-5843
(718) 859-6250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207RC0000X
Cardiovascular Disease Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03193840
—
NY
Enumeration date
08/15/2011
Last updated
08/15/2011
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