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Organization

KINGS HIGHWAY MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRABHAT SONI MD (OWNER)
(718) 787-1900
Entity
Organization

Contact information

Practice address
2519 AVENUE O, BROOKLYN, NY 11210-5230
(718) 787-1900
(718) 382-5252
Mailing address
2519 AVENUE O, BROOKLYN, NY 11210-5230
(718) 787-1900
(718) 382-5252

Taxonomy

Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
192569
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02236428
NY
Enumeration date
06/26/2008
Last updated
08/26/2024
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