Organization
WILLIS MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR MARTIROSOV D.O. (PRESIDENT)
(718) 234-1212
Entity
Organization
Contact information
Practice address
7724 NEW UTRECHT AVE, SUITE L.L., BROOKLYN, NY 11214-1014
(718) 234-1212
Mailing address
7724 NEW UTRECHT AVE, SUITE L.L., BROOKLYN, NY 11214-1014
(718) 234-1212
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
209027
NY
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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