Organization
BROOKLYN DOC MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANANTHAKUMAR THILLAINATHAN MD (OWNER/MD)
(516) 582-1948
Entity
Organization
Contact information
Practice address
10420 QUEENS BLVD STE 1DE, FOREST HILLS, NY 11375-3629
(718) 806-1002
Mailing address
10420 QUEENS BLVD STE 1DE, FOREST HILLS, NY 11375-3629
(718) 897-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291751
—
NY
Enumeration date
11/03/2019
Last updated
10/06/2022
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