Organization
BORO PARK MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSIF SHOLOMON M.D. (OWNER)
(718) 436-1600
Entity
Organization
Contact information
Practice address
1379 54TH ST, BROOKLYN, NY 11219-4259
(718) 436-1600
(718) 436-2085
Mailing address
1379 54TH ST, BROOKLYN, NY 11219-4259
(718) 436-1600
(718) 436-2085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
189657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02559608
—
NY
01
—
2596135
GHI
NY
01
—
7218155
AETNA
NY
Enumeration date
03/07/2007
Last updated
02/24/2010
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