Provider Demographics
NPI:1992049936
Name:REAL MEDICAL CARE PLLC
Entity type:Organization
Organization Name:REAL MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENYAMINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-332-3100
Mailing Address - Street 1:211 E 53RD ST
Mailing Address - Street 2:SUITE 3K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4803
Mailing Address - Country:US
Mailing Address - Phone:212-583-9701
Mailing Address - Fax:212-583-9709
Practice Address - Street 1:2569 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4576
Practice Address - Country:US
Practice Address - Phone:718-332-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty