Provider Demographics
NPI:1801189287
Name:METROCARE MEDICAL PC
Entity Type:Organization
Organization Name:METROCARE MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DO
Authorized Official - Phone:631-553-3172
Mailing Address - Street 1:3043 OCEAN AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3497
Mailing Address - Country:US
Mailing Address - Phone:347-492-6600
Mailing Address - Fax:347-492-6601
Practice Address - Street 1:3043 OCEAN AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3497
Practice Address - Country:US
Practice Address - Phone:347-492-6600
Practice Address - Fax:347-492-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty