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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVED MEDICAL IPA LLC

Active Organization

REVIVED MEDICAL IPA LLC is a Psychiatry organization located in BROOKLYN, New York. NPI 1912644972 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · BROOKLYN, NY

Registration Details

NPI Number
1912644972
Provider Type
Organization
NPI Issued
May 19, 2022 (4.247255495945 yrs)
Last Updated
May 19, 2022

Practice Information

Address
1329 E 17TH ST
BROOKLYN, NY, 112306052
Browse NY providers · Browse ZIP 11230
Phone
9175841409
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychologist
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Occupational Therapist
Additional Specialty
Psychiatry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.