Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Concilium Medical, PC

Organization Internal Medicine Physician · NPI 1972554285

Concilium Medical, PC is an Internal Medicine Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Gravesend Neck Rd
Brooklyn, NY 11229-4256
Phone: (718) 332-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 221545 (NY)

Record details

NPI number1972554285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yaroslav Bukharovich — President · (718) 938-3564
NPI enumeratedMay 12, 2006
Last updated in NPPESApril 9, 2008
Mailing address8420 85th Ave, Woodhaven, NY 11421-1217

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