Organization
1110 PENNSYLVANIA AVENUE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE STOREY MD (PHYSICIAN)
(646) 942-2842
Entity
Organization
Contact information
Practice address
1110 PENNSYLVANIA AVE, SUITE 5, BROOKLYN, NY 11207-9003
(646) 942-2842
Mailing address
1110 PENNSYLVANIA AVE, SUITE 5, BROOKLYN, NY 11207-9003
(646) 942-2842
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
10/05/2016
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