Organization
MIDWOOD MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT J WERRELL (MEDICAL DIRECTOR)
(718) 336-6667
Entity
Organization
Contact information
Practice address
2222 CONEY ISLAND AVE, BROOKLYN, NY 11223-3338
(718) 336-6667
Mailing address
2222 CONEY ISLAND AVE, BROOKLYN, NY 11223-3338
(718) 336-6667
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02363468
—
NY
Enumeration date
05/07/2007
Last updated
02/21/2008
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