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Organization

SUNY HEALTH SCIENCE CENTER AT BROOKLYN

Active
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Organization

SUNY HEALTH SCIENCE CENTER AT BROOKLYN

Active
Other names
SUNY DMC @LICH- MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
MARILYN VIENTOS - SOTIRIADIS (COO)
(718) 270-2025
Entity
Organization

Contact information

Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1000
Mailing address
339 HICKS STREET, BROOKLYN, NY 11201
(718) 780-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—

Other

Enumeration date
02/10/2011
Last updated
04/04/2013
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