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

Suite 69 Medical PC

Organization Internal Medicine Physician · NPI 1104634773

Suite 69 Medical PC is an Internal Medicine Physician in Brooklyn, New York. Registered with an NPI since 2024.

In the registry since
2024
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

275 9th St Ste 69
Brooklyn, NY 11215-4457
Phone: (347) 404-6508
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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

Record details

NPI number1104634773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry-Jan Blackett-Bonnett — Authorized Official · (347) 404-6508
Other names Mindcore
NPI enumeratedDecember 27, 2024
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address275 9th St Ste 69, Brooklyn, NY 11215-4457

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