Organization
LIFELONG MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY PERTSOVSKY (PRESIDENT)
(718) 743-7090
Entity
Organization
Contact information
Practice address
2569 OCEAN AVE, BROOKLYN, NY 11229-4576
(718) 743-7090
Mailing address
259 DOVER ST, BROOKLYN, NY 11235-3721
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
214362
NY
Other
Enumeration date
05/12/2006
Last updated
04/05/2011
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