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Organization

WOODHULL MEDICAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIGUEL RAMOS (BILLING SUPERVISOR)
(718) 302-5217
Entity
Organization

Contact information

Practice address
825 BROADWAY, BROOKLYN, NY 11206-7306
(718) 302-5217
(718) 302-5223
Mailing address
825 BROADWAY, BROOKLYN, NY 11206-7306
(718) 302-5217
(718) 302-5223

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
111981
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
195946
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00202319
NY
05
01681552
NY
Enumeration date
05/21/2008
Last updated
05/01/2009
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