OrganizationActive
Adult and Geriatric Medical Care PC
NPI 1366567414 · Geriatric Medicine (Internal Medicine) Physician · Brooklyn, NY
Provider details
- NPI number
- 1366567414
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Levina, President(917) 609-5537
- License
- 234232 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
4802 10th Ave Fl 10
Brooklyn, NY 11219-2916
Phone: (917) 609-5537
Fax: (718) 630-3761
Approximate (ZIP-level) locationGet directions
Mailing address
157 Beaumont St
Brooklyn, NY 11235-4118
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.