Provider Demographics
NPI:1568470268
Name:SYNERGYFIRST MEDICAL, PLLC
Entity Type:Organization
Organization Name:SYNERGYFIRST MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEN-ZVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-339-7500
Mailing Address - Street 1:1575 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7203
Mailing Address - Country:US
Mailing Address - Phone:718-339-7500
Mailing Address - Fax:718-339-5150
Practice Address - Street 1:1575 E 19TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7203
Practice Address - Country:US
Practice Address - Phone:718-339-7500
Practice Address - Fax:718-339-5150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY158543207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty