| Organization Name: | ST.JOHN MEDICAL CARE P.C. |
| NPI Number: | 1376799296 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GENE BRIGNONI (OWNER) |
| Mailing Address: | 900 Lenox Rd Suite 1 Brooklyn |
| State: | NY US |
| Postal Code: | 112032603 |
| Phone Number: | 7182409124 |
| Fax Number: | 7182409304 |
| NPI Enumeration Date: | 08/12/2008 |
| NPI Last Update Date: | 08/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 156598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |