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CLERISY MEDICAL, PC
NPI 1700047289
Specialist in Brooklyn, NY

Active since June 18, 2008
446 MCDONALD AVE, BROOKLYN, NY 11218(718) 972-4200(718) 972-6861 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clerisy Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLERISY MEDICAL, PC (NPI 1700047289) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since June 2008. The organization lists Gulam M Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1700047289
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCLERISY MEDICAL, PC
Location Address446 MCDONALD AVEBrooklyn, NY 11218-2212
Mailing Address114 Talley Rd SRoslyn, NY 11576-2598 · (718) 421-2131 · Fax (718) 421-2130
Phone(718) 972-4200
Fax(718) 972-6861
Organization SubpartNo
Authorized OfficialGulam M KhanOwner · (718) 840-7142
Enumeration DateJune 18, 2008
Last NPPES UpdateJuly 20, 2012
✔ NPI 1700047289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 228737
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
446 MCDONALD AVE, Brooklyn, NY 11218
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Other Identifiers 2

Medicaid02426433NY
Medicare PIN94S631NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DISHA SHARMA
Physical Therapist
446 MCDONALD AVE
BROOKLYN, NY 11218
Kings County (929) 919-6844
RAPID MEDICAL CARE
Family Medicine
446 MCDONALD AVE
BROOKLYN, NY 11218
Kings County (718) 854-0500
KINGS HIGHWAY PHYSICAL THERAPY PC
Specialist
446 MCDONALD AVE
BROOKLYN, NY 11218
Kings County (718) 972-4200
DR. OMER KHALIQUE TIPU MD
Family Medicine
446 MCDONALD AVE
BROOKLYN, NY 11218
Kings County (718) 972-4200
OMER TIPU PHYSICIAN PC
Family Medicine (Geriatric Medicine)
446 MCDONALD AVE
BROOKLYN, NY 11218
Kings County (718) 972-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clerisy Medical, PC's NPI number?

The NPI number for Clerisy Medical, PC is 1700047289. It was assigned to this organization in the NPPES registry on June 18, 2008.

Where is Clerisy Medical, PC located?

Clerisy Medical, PC is located at 446 Mcdonald Ave, Brooklyn, NY 11218. The listed phone number is (718) 972-4200.

What is Clerisy Medical, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Clerisy Medical, PC was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.