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Contact Information

BROOKLYN 83RD ST MEDICAL
763 E 83RD ST
BROOKLYN, NY11236
 Phone: 718-531-2500
 Fax: 718-531-2552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BROOKLYN 83RD ST MEDICAL · (Female)

NPI # 1174539829
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 01566581
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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