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Organization

TREVOR R WORRELL MD P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TREVOR R WORRELL M.D. (MANAGER)
(718) 467-1900
Entity
Organization

Contact information

Practice address
60 E 40TH ST, BROOKLYN, NY 11203-2911
(718) 467-1900
(718) 756-3727
Mailing address
60 E 40TH ST, BROOKLYN, NY 11203-2911
(718) 467-1900
(718) 756-3727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QP2300X
Primary Care Clinic/Center
Primary
138670
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00680268
NY
Enumeration date
10/23/2008
Last updated
10/23/2008
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