Brtc Ni INC

NPI #1427681782 in Middle Village, New York

Provider Information

NPI Number: 1427681782
Entity Type: Organization
Organization Name: Brtc Ni INC
Primary Specialty: Family Medicine
Enumeration Date: Feb 14, 2020
Last Updated: Feb 14, 2020

Practice Location

Address: 6315 83RD ST
City: Middle Village
State: New York
ZIP Code: 11379-1962
Phone: (646) 269-1187

Authorized Official

Name: MICHAEL CHRISTOPHER MOY, DO
Title: FAMILY PRACTICE
Phone: (718) 205-5795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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