Organization
NATHALIA IDELEVITCH MEDICAL OFFICE PC
Active
Organization
NATHALIA IDELEVITCH MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHALIA IDELEVITCH M.D. (MEDICAL DIRECTOR)
(917) 627-5470
Entity
Organization
Contact information
Practice address
3048 BRIGHTON 1ST ST STE 2, BROOKLYN, NY 11235-8081
(347) 702-9531
(347) 702-6045
Mailing address
3048 BRIGHTON 1ST ST STE 2, BROOKLYN, NY 11235-8081
(347) 702-9531
(347) 702-6045
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
01/05/2024
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