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Organization
MAIMONIDES FACULTY PRACTICE PLAN
Active
Organization
MAIMONIDES FACULTY PRACTICE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA AMIN (SENIOR VP/ CHIEF REVENUE OFFICER)
(718) 283-8700
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8700
(718) 635-8709
Mailing address
PO BOX 27642, NEW YORK, NY 10087-7642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
02/21/2024
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