Organization
AVENUE L MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M KOEGEL MD (OWNER)
(718) 859-3499
Entity
Organization
Contact information
Practice address
1911 AVENUE L, BROOKLYN, NY 11230-5002
(718) 859-3499
Mailing address
1911 AVENUE L, BROOKLYN, NY 11230-5002
(718) 859-3499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
165060
NY
291U00000X
Clinical Medical Laboratory
165060
NY
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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