Individual
MORDECHAI BEITYAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E 24TH ST, BROOKLYN, NY 11210-5144
(718) 376-7894
(718) 645-3952
Mailing address
1455 E 24TH ST, BROOKLYN, NY 11210-5144
(718) 376-7894
(718) 645-3952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
203771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01719740
—
NY
Enumeration date
09/19/2005
Last updated
12/04/2016
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