Organization
BENSONHURST MEGA MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MAK MD (MEDICAL DIRECTOR)
(718) 332-9592
Entity
Organization
Contact information
Practice address
2761 BATH AVE SUITE B1, BROOKLYN, NY 11214
(718) 332-9592
Mailing address
2761 BATH AVE SUITE B1, BROOKLYN, NY 11214
(718) 332-9592
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
211790-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211790-1
LISCENCE NY
NY
Enumeration date
11/14/2008
Last updated
11/14/2008
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