Organization
PM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MCCLUNG MD (MEDICAL DIRECTOR)
(917) 671-8606
Entity
Organization
Contact information
Practice address
4924 AVENUE K, BROOKLYN, NY 11234-2128
(929) 333-9376
Mailing address
4924 AVE. K, BROOKLYN, NY 11234
(929) 333-9376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
188795
NY
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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