PREVENTIVE IDTF INC.


Address: 544 Park Ave, 610, Brooklyn, NY 11205-1600
Phone: 7183883300

PREVENTIVE IDTF INC. (NPI# 1245674175) 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) 1245674175
Entity Type Organization
Organization Name PREVENTIVE IDTF INC.
Practice Address 544 Park Ave
610
Brooklyn
NY 11205-1600
Practice Telephone 7183883300
Mailing Telephone 7183883300
Enumeration Date 2013-04-22
Last Update Date 2013-11-21
Authorized Official Name MENACHEM TAUBER (COO)
Authorized Official Telephone 7183883300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities

Office Location

Street Address 544 PARK AVE
610
City BROOKLYN
State NY
Zip Code 11205-1600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841517406 Menachem Tauber Spec/Tech, Pathology 544 Park Ave, Suite 620, Brooklyn, NY 11205-1600 2010-04-22

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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11205

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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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