Basic Information
| Provider Information | |||||||||
| NPI: | 1518626449 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METROPOLITAN PHYSICIANS RESOLVE MEDICAL PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 44 VIOLET AVE | ||||||||
| Address2: | |||||||||
| City: | FLORAL PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110012710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9173650866 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2964 BRIGHTON 6TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112358532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9173650866 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2021 | ||||||||
| LastUpdateDate: | 12/13/2021 | ||||||||
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| AuthorizedOfficialLastName: | NARVAEZ | ||||||||
| AuthorizedOfficialFirstName: | FRANCISCO | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9173650866 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 12/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Urology | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.