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Organization
MMC OB-GYN FACULTY PRACTICE PLAN
Active
Organization
MMC OB-GYN FACULTY PRACTICE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA FALCONE (BUSINESS MANAGER)
(718) 283-8864
Entity
Organization
Contact information
Practice address
6208 4TH AVE, BROOKLYN, NY 11220-4616
(718) 283-3000
(718) 635-6866
Mailing address
967 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8864
(718) 283-6818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
02/20/2013
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