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Organization

DYNASTY FIRST MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARKADIY SHUSTERMAN M.D., D.O. (MEDICAL DIRECTOR)
(718) 333-2500
Entity
Organization

Contact information

Practice address
2501 86TH ST, BROOKLYN, NY 11214-4414
(718) 333-2500
(718) 333-2835
Mailing address
2501 86TH ST, BROOKLYN, NY 11214-4414
(718) 333-2500
(718) 333-2835

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
217079
NY

Other

Enumeration date
10/16/2007
Last updated
10/16/2007
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