Organization Name: | AMERICAN COMPREHENSIVE HEALTHCARE MEDICAL GROUP |
NPI Number: | 1174928378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELVIN K JACK (PRESIDENT) |
Mailing Address: | 5205-7 Church Avenue Brooklyn |
State: | NY US |
Postal Code: | 112033513 |
Phone Number: | 7186888088 |
Fax Number: | 7186888018 |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 002201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |