Organization
AXIOM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DUME-CHARLES MD (OWNER)
(718) 444-0437
Entity
Organization
Contact information
Practice address
9602 AVENUE L, BROOKLYN, NY 11236-4813
(718) 444-0437
(718) 763-1267
Mailing address
842 VAN BUREN ST, BALDWIN, NY 11510-4652
(718) 444-0437
(718) 763-1267
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
220943
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03629696
—
NY
01
—
220943
NY LICENSE
NY
Enumeration date
06/14/2013
Last updated
09/19/2022
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