Organization
CITYCARE MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERILL POCHETUHEN DO (PRESIDENT)
(718) 245-6042
Entity
Organization
Contact information
Practice address
4119 18TH AVE, BROOKLYN, NY 11218-5709
(718) 245-6042
Mailing address
4119 18TH AVE, BROOKLYN, NY 11218-5709
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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