1538506076

Everything you always wanted to know about COMMUNITY MEDICAL DISORDER P.C. DR. MEADOW MORTON HERBERT but were afraid to ask.

COMMUNITY MEDICAL DISORDER P.C. DR. MEADOW MORTON HERBERT

You can also download the this 1538506076 data report as csv | excel | json | xml
Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
COMMUNITY MEDICAL DISORDER P.C. DR. MEADOW MORTON HERBERT
Gender:
none
Enumeration date:
2013-05-23
Last update date:
2013-07-26
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active
03345420 Medicaid none NY 1
A400067616 Other MEDICARE PTAN NY 1

Taxonomies

Taxonomy State License Number Primary?
103TP0016X Prescribing (Medical) NY 090294

Phone Numbers

Type Number
Mailing Address Telephone Number 7182186888
Practice Location Address Telephone Number 7182186888
Authorized Official Telephone Number 7182186888
Mailing Address Fax Number 7182186855
Practice Location Address Fax Number 7182186855

Addresses

Type Address City State Postal Country
Mailing Address 721 FLUSHING AVE 1ST FLOOR BROOKLYN NY 11206 NY
Practice Location Address 721 FLUSHING AVE 1ST FLOOR BROOKLYN NY 11206 NY

Other NPI Records that share a phone number

NPI Name Address State City
1063792158 INTERMED CARE PC
Organization
721 FLUSHING AVE NY BROOKLYN
1235408584 INTERHEALTH MEDICAL CARE PC
Organization
721 FLUSHING AVE NY BROOKLYN

Other NPI Records that share an address

NPI Name Address State City
1063792158 INTERMED CARE PC
Organization
721 FLUSHING AVE NY BROOKLYN
1235408584 INTERHEALTH MEDICAL CARE PC
Organization
721 FLUSHING AVE NY BROOKLYN
1316263882 DENOBREGA, RENEE
Individual
2915 WILSON SCHOOL LANE PA READING
1811338684 ISAACS, SIMEON
Individual
721 FLUSHING AVE NY BROOKLYN