# UNIVERSITY PHYSICIANS OF BROOKLYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003098260
- **Authorized official:** MS. MELISSA RIVERA (DIRECTOR, MEDICAL BOARD)
- **Authorized official phone:** (718) 270-7379

## Contact information

- **Practice address:** 450 CLARKSON AVE, SUITE A, BROOKLYN, NY 11203-2056
- **Practice address phone:** (718) 270-1112
- **Practice address fax:** (718) 270-3170
- **Mailing address:** 450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2056
- **Mailing address phone:** (718) 270-7379
- **Mailing address fax:** (718) 270-1794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 245923 | NY | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007