Organization
CONCORD MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL EDWIN BLACKMAN MD (PRESIDENT)
(718) 307-5654
Entity
Organization
Contact information
Practice address
741 FLUSHING AVE, BSMT, BROOKLYN, NY 11206-4419
(646) 655-0001
(347) 844-9448
Mailing address
741 FLUSHING AVE, BSMT, BROOKLYN, NY 11206-4419
(646) 655-0001
(347) 844-9448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
141896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825810
—
NY
Enumeration date
05/14/2014
Last updated
05/14/2014
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