Provider Demographics
NPI:1245679778
Name:ALLCITY MEDICAL, P.C.
Entity type:Organization
Organization Name:ALLCITY MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KONSTANTINOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARKADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-781-5075
Mailing Address - Street 1:4290 BROADWAY
Mailing Address - Street 2:SUITE 2S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3732
Mailing Address - Country:US
Mailing Address - Phone:212-781-5075
Mailing Address - Fax:212-781-4823
Practice Address - Street 1:1576 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3046
Practice Address - Country:US
Practice Address - Phone:347-533-8530
Practice Address - Fax:347-533-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty