Organization
AMETHYST MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE CRAIG NAGOURNEY MD (PRESIDENT)
(718) 336-5257
Entity
Organization
Contact information
Practice address
1840 E 14TH ST, BROOKLYN, NY 11229-2800
(718) 336-5257
(718) 336-5187
Mailing address
1840 E 14TH ST, BROOKLYN, NY 11229-2800
(718) 336-5257
(718) 336-5187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
156199-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02752963
—
NY
Enumeration date
08/31/2006
Last updated
08/22/2020
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