Provider Demographics
NPI:1629765367
Name:BROOKLYN HEIGHTS INTERNAL MEDICINE PLLC
Entity Type:Organization
Organization Name:BROOKLYN HEIGHTS INTERNAL MEDICINE PLLC
Other - Org Name:MEWA MEDICAL PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-254-6616
Mailing Address - Street 1:333 W 57TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3122
Mailing Address - Country:US
Mailing Address - Phone:917-456-7050
Mailing Address - Fax:646-349-5562
Practice Address - Street 1:333 W 57TH ST APT 107
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3122
Practice Address - Country:US
Practice Address - Phone:301-254-6616
Practice Address - Fax:646-349-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty