Organization
FIDUCIA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC W. KENWORTHY M.D. (OWNER)
(718) 875-3070
Entity
Organization
Contact information
Practice address
359 CLINTON ST, BROOKLYN, NY 11231-3701
(718) 875-3070
(718) 875-7864
Mailing address
359 CLINTON ST, BROOKLYN, NY 11231-3701
(718) 875-3070
(718) 875-7864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170513
NY
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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