Organization
AVE U MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIPP PIFKO (BILLING MANAGER)
(718) 934-9720
Entity
Organization
Contact information
Practice address
2153 E 3RD ST, BROOKLYN, NY 11223-4030
(718) 339-9438
(718) 339-3251
Mailing address
2153 E 3RD ST, BROOKLYN, NY 11223-4030
(718) 339-9438
(718) 339-3251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02351251
—
NY
Enumeration date
06/17/2010
Last updated
06/17/2010
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