Basic Information
| Provider Information | |||||||||
| NPI: | 1427321223 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARE FOR YOU MEDICAL PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1797 CONEY ISLAND AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112306501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186761743 | ||||||||
| FaxNumber: | 7186761746 | ||||||||
| Practice Location | |||||||||
| Address1: | 1797 CONEY ISLAND AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112306501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186761743 | ||||||||
| FaxNumber: | 7186761746 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2012 | ||||||||
| LastUpdateDate: | 02/10/2012 | ||||||||
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| AuthorizedOfficialLastName: | HAMID | ||||||||
| AuthorizedOfficialFirstName: | ALAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7186761743 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 240456 | NY | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.