CROWN HEIGHTS MEDICAL, P.C. (NPI# 1821210402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821210402 |
| Entity Type | Organization |
| Organization Name | CROWN HEIGHTS MEDICAL, P.C. |
| Practice Address |
540 E New York Ave Brooklyn NY 11225-4514 |
| Practice Telephone | 7184937300 |
| Practice Fax Number | 7184937399 |
| Mailing Telephone | 7184937300 |
| Mailing Fax Number | 7184937399 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SETH DAVID KURTZ (PRESIDENT) |
| Authorized Official Telephone | 7184937300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
232596 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02811094 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CROWN HEIGHTS MEDICAL, P.C. | 12 Deerwood Rd, Spring Valley, Ny 10977 |
| Street Address |
540 E NEW YORK AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11225-4514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053834721 | Manpreet Kaur Dhillon | Dentist | 540 E New York Ave, Brooklyn, NY 11225 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533761 | Mona Joseph | Registered Nurse | 1141 Carroll St, Brooklyn Ny 11225, 1141 Carroll St, Brooklyn, NY 11225 | 2020-03-12 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1972169969 | Brendy Y Alofe | Licensed Practical Nurse | 49 Crown Street, #8k, Brooklyn, NY 11225 | 2019-05-15 |
| 1912479676 | Michael Thompson | Licensed Practical Nurse | 381 E New York Ave, Brooklyn, NY 11225 | 2018-12-19 |
| 1891241592 | Jeffery Conrad Lawrence | Psychiatry & Neurology | 573 East New York Ave., Apt 1, Brooklyn, NY 11225 | 2016-09-01 |
| 1629462437 | Maria Gonzalo | Social Worker | 29 Rutland Road, Brooklyn, NY 11225 | 2015-03-19 |
| 1700297041 | Chaya Kaufmann | Registered Nurse | 301 Sullivan Place, Apt 4m, Brooklyn, NY 11225 | 2014-05-08 |
| 1629491337 | Lawanna Mackie | Social Worker | 915 Washington Ave., Apt. 1b, Brooklyn, NY 11225 | 2014-01-31 |
| 1003238239 | Elizabeth Obiamaka Obiora I | Licensed Practical Nurse | 140 E New York Ave, 4-f, Brooklyn, NY 11225 | 2014-01-07 |
| 1770928970 | Jonathan Kogen Phd PC | Psychologist | 169 Sterling Street, Brooklyn, NY 11225 | 2013-05-02 |
| Find all providers in zip 11225 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1629443353 | Brookdale Family Care Center, Inc. | Clinic/Center | 465 New Lots Avenue At Wyona Street, Bfcc New Lots, Brooklyn, NY 11207-6414 | 2015-12-07 |
| 1144693607 | Doral Medical and Multi Specialty Facility LLC | Clinic/Center | 1797 Pitkin Ave, Brooklyn, NY 11212-7841 | 2015-11-05 |
| 1750791877 | Quick Docs Medical, Pllc | Clinic/Center | 256 Utica Ave, Brooklyn, NY 11213-4029 | 2014-04-28 |
| 1982946877 | Forest Hills Medical & Diagnostic | Clinic/Center | 1735 Pitkin Ave, Brooklyn, NY 11212-6603 | 2013-03-19 |
| 1013293588 | Physio Logic Medicine, P.C. | Clinic/Center | 409 Fulton Street, 2nd Floor, Brooklyn, NY 11201 | 2011-10-28 |
| 1124290291 | Altair Medical, P.C. | Clinic/Center | 1115 Ocean Pkwy Ste 1, Brooklyn, NY 11230-4075 | 2008-03-29 |
| 1609048073 | Shorefront Medical Care | Clinic/Center | 2010 86th St, Brooklyn, NY 11214-3204 | 2008-03-26 |
| 1780895094 | Lyudmila Cavalier Physician PC | Clinic/Center | 9014 Flatlands Ave, Brooklyn, NY 11236-3616 | 2007-05-25 |
| 1699824524 | Gsv Pharmacy Inc | Clinic/Center | 4623 13th Ave, Brooklyn, NY 11219-2631 | 2007-01-09 |
| Find all providers in BROOKLYN | ||||
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| 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.