Organization Name: | SYNERGY FIRST MEDICAL PLLC |
NPI Number: | 1003085051 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY BENZVI (DIRECTOR) |
Mailing Address: | 1575 E 19th St Brooklyn |
State: | NY US |
Postal Code: | 112307203 |
Phone Number: | 7187485300 |
Fax Number: | 7187480920 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |