Organization
CONCERNED MEDICAL CARE, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TATYANA POLOVENKO M.D. (PRESIDENT)
(718) 473-7334
Entity
Organization
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 473-7334
(718) 265-5837
Mailing address
1917 STILLWELL AVE, 3-C, BROOKLYN, NY 11223-2414
(718) 473-7334
(718) 265-5837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
242289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02654593
—
NY
Enumeration date
12/13/2006
Last updated
08/22/2020
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