Organization Name: | UNLIMITED MEDICAL CARE, P.C. |
NPI Number: | 1396901211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GRACIA LOUIS MAYARD (PRACTICIONER/ DIRECTOR AND OFFICER) |
Mailing Address: | 2035 Ralph Ave Suite 1-a Brooklyn |
State: | NY US |
Postal Code: | 112345300 |
Phone Number: | 7182513303 |
Fax Number: | 7182513350 |
NPI Enumeration Date: | 07/30/2008 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 151033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |