EXECUTIVE HEALTH MEDICAL CARE, PC
Osteopathic Medicine at 86 St, Brooklyn, NY

License number
New York 523006
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MARVIN BUTTERMAN M.D.
Title: MEDICAL DIRECTOR
Phone: (718) 265-2424
Address
Address
2433 86Th St, Brooklyn, NY 11214
National Provider ID: 1669571675
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EXECUTIVE HEALTH MEDICAL CARE, PC

1309 W 7 St, Brooklyn, NY 11204

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jun 24, 2003
Inactive since:
Apr 27, 2011
State ID:
2922956
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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