Blue Nile Medical Pllc

NPI #1003322108 in Brooklyn, New York

Provider Information

NPI Number: 1003322108
Entity Type: Organization
Organization Name: Blue Nile Medical Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Dec 27, 2017
Last Updated: Dec 27, 2017

Practice Location

Address: 9408 FLATLANDS AVE
City: Brooklyn
State: New York
ZIP Code: 11236-3742
Phone: (718) 272-0977

Authorized Official

Name: DR. SEBHATU GEBREZGI, MD
Title: OWNER
Phone: (718) 272-0977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X
Internal Medicine	207R00000X	Primary

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