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Organization

MK SURGICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERAB KRIKHELY (PRESIDENT)
(718) 769-0707
Entity
Organization

Contact information

Practice address
1819 E 13TH ST, BROOKLYN, NY 11229-2870
(718) 769-0707
Mailing address
1819 E 13TH ST, BROOKLYN, NY 11229-2870

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
177560
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01249105
NY
Enumeration date
05/12/2006
Last updated
04/04/2008
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