Organization
EXPRESS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAK BELOGOLOVKIN MD (PRESIDENT)
(718) 612-2247
Entity
Organization
Contact information
Practice address
3059 BRIGHTON 7TH ST, BROOKLYN, NY 11235-6414
(718) 259-2700
(718) 259-2714
Mailing address
3250 CONEY ISLAND AVE, #A5, BROOKLYN, NY 11235
(718) 648-5858
(718) 375-2735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
174735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00951524
—
NY
Enumeration date
06/02/2006
Last updated
08/22/2020
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