21st Avenue Medical Plaza PC
21st Avenue Medical Plaza PC provides Family Medicine Physician services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2101 E 16th StBrooklyn, NY 11229-4401
Phone: (718) 266-9779
Fax: (718) 645-6600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 219865 (NY) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 208817 (NY) |
| Pain Medicine Physician | Taxonomy 208VP0000X · Licence 219865 (NY) |
Record details
| NPI number | 1134256761 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samira Ovshaev — Physician · (718) 266-9779 |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | March 7, 2023 |
| Mailing address | 2101 E 16th St, Brooklyn, NY 11229-4401 |
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