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Organization
LONG ISLAND COLLEGE HOSPITAL
Active
Organization
LONG ISLAND COLLEGE HOSPITAL
Active
Other names
MEDICINE SPECIALTY GROUP AT LICH
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR PRIVMAN MD (MANAGING EMPLOYEE)
(718) 780-2155
Entity
Organization
Contact information
Practice address
97 AMITY ST, BROOKLYN, NY 11201-6004
(718) 780-2155
Mailing address
160 WATER ST, 20FL, NEW YORK, NY 10038-4922
(212) 256-3682
(212) 256-3538
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
11/03/2009
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