Organization
I.P.T. MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABELLA R PELUSO MD (OWNER)
(718) 491-7300
Entity
Organization
Contact information
Practice address
97 87TH ST, BROOKLYN, NY 11209-4215
(718) 491-7300
(347) 560-6040
Mailing address
97 87TH ST, BROOKLYN, NY 11209-4215
(718) 491-7300
(347) 560-6040
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
208691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01798030
—
NY
Enumeration date
11/18/2013
Last updated
08/22/2024
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