21ST AVENUE MEDICAL PLAZA PC
Psychiatric at 16 St, Brooklyn, NY

License number
New York 219865
Category
Osteopathic Medicine
Type
Family Medicine
License number
New York 208817
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
License number
New York 219865
Category
Psychiatric
Type
Pain Medicine
Owner
Name: SAMIRA OVSHAEV D.O.
Title: PHYSICIAN
Phone: (718) 266-9779
Address
Address
2101 E 16Th St, Brooklyn, NY 11229
National Provider ID: 1134256761
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 21ST AVENUE MEDICAL PLAZA PC at bizstanding.com

21ST AVENUE MEDICAL PLAZA, PC

2101 E 16 St 2 Flr, Brooklyn, NY 11229

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Oct 28, 2002
Inactive since:
Nov 9, 2011
State ID:
2827479
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Samira Ovshaev, 2101 E 16 St 2 Flr, Brooklyn, NY 11229 (Physical)

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