Concilium Medical, P.C.

LBN: Concilium Medical, P.C.
Concilium Medical, P.C. is an health care organization with primary practice located at 1200 Gravesend Neck Rd , Brooklyn NY 11229-4256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Concilium Medical, P.C. can be contacted via phone (718) 332-3555, or through Bukharovich, Yaroslav via phone (718) 938-3564.

Contact Information

Primary practice address
1200 Gravesend Neck Rd Brooklyn NY 11229-4256
Phone: (718) 332-3555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bukharovich, Yaroslav
Phone: (718) 938-3564

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 221545 New York

Profile Details

NPI number 1972554285
LBN Legal business name Concilium Medical, P.C.
DBA Doing business as
Authorized official Bukharovich, Yaroslav
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Apr 9th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972554285 NPPES
New York MEDICAID 02194865

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