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Organization

LMC PHYSICIAN SERVICES, PC

Active
Other names
LMC Physician Services, PC -Allied Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN CLEARY (VICE PRESIDENT)
(718) 630-7342
Entity
Organization

Contact information

Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-8445
(718) 630-8515
Mailing address
5800 3RD AVE, MANAGED CARE DEPARTMENT, BROOKLYN, NY 11220-3702
(718) 630-7477
(718) 630-7437

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
207VE0102X
Reproductive Endocrinology Physician
207VG0400X
Gynecology Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
Primary
2086S0102X
Surgical Critical Care Physician
2086S0127X
Trauma Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
225100000X
Physical Therapist
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/03/2009
Last updated
09/03/2009
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