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

Health Revival Medical PC

Organization Family Medicine Physician · NPI 1093742900

Health Revival Medical PC is a Family 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 Partly verified

Some contact details are missing from the federal record.

Health Revival Medical Pc 162 Brighton St
Brooklyn, NY 11235-5237
Phone: (718) 891-8822
Fax: (718) 891-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 223381 (NY)

Record details

NPI number1093742900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larisa Veksman — Medical Director · (718) 891-8822
NPI enumeratedJune 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address21 Goodal Street, Brooklyn, NY 10308-3325

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