BAY 29 MEDICAL PC
Marriage and Family Therapists at Bay 29 St, Brooklyn, NY

License number
New York 2002782
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. CHITRE NITIN PRABHAKAR MD
Title: OWNER
Phone: (718) 758-4520
Address
Address
174 Bay 29Th St, Brooklyn, NY 11214
National Provider ID: 1407080880
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BAY 29 MEDICAL PC

174 Bay 29, Brooklyn, NY 11214

Registration:
Oct 14, 2008
State ID:
3731574
Business type:
DOMESTIC PROFESSIONAL CORPORATION

VIP BAY 29 MEDICAL MANAGEMENT, INC

2964 Brighton 6 St UNIT M1-M2, Brooklyn, NY 11235

Industry:
Health/Allied Services
Doing business as:
Vip Bay 29 Medical PC
Registration:
Apr 28, 2010
State ID:
3942891
Business type:
DOMESTIC BUSINESS CORPORATION
Principals:
Slava Vishner, 2964 Brighton 6 St UNIT M1-M2, Brooklyn, NY 11235 (Physical),Chitre N. Prabhakar (Principal)

VIP BAY 29 MEDICAL, PC

174 Bay 29 St, Brooklyn, NY 11214

Registration:
Apr 28, 2009
State ID:
3803594
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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