Organization
KINGS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA ISAKOVA M.D. (OWNER)
(347) 312-2052
Entity
Organization
Contact information
Practice address
1379 54TH ST, BROOKLYN, NY 11219-4259
(347) 603-5647
Mailing address
3030 OCEAN AVE, #4F, BROOKLYN, NY 11235-3363
(347) 312-2052
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
238803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744714
—
NY
Enumeration date
12/27/2007
Last updated
01/27/2009
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