Organization
BITACHON 412 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON KHERADNAM (AUTHORIZED OFFICIAL)
(347) 870-4732
Entity
Organization
Contact information
Practice address
1648 E 14TH ST STE 1, BROOKLYN, NY 11229-1175
(718) 998-2350
Mailing address
1648 E 14TH ST STE 1, BROOKLYN, NY 11229-1175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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