TOTAL CARE RADIOLOGY PC


Address: 4209 Avenue U, Brooklyn, NY 11234-5121
Phone: 3474848215

TOTAL CARE RADIOLOGY PC (NPI# 1346865227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346865227
Entity Type Organization
Organization Name TOTAL CARE RADIOLOGY PC
Practice Address 4209 Avenue U
Brooklyn
NY 11234-5121
Mailing Address 4750 Bedford Ave Apt 3d
Brooklyn
NY 11235-2623
Practice Telephone 3474848215
Mailing Telephone 3474848215
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Authorized Official Name DR. GEORGE BOLOTIN (PRESIDENT)
Authorized Official Telephone 3474848215
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 4209 AVENUE U
City BROOKLYN
State NY
Zip Code 11234-5121

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1740846252 Angelie Dawn Banaybanay Flores Physical Therapist 3214 Kings Highway, Brooklyn, New York, NY 11234 2019-05-10
1891273033 Diana Haughton-bennett Nurse Practitioner 2067 E 60th St, Brooklyn, NY 11234 2018-07-31
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11234

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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