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Organization
ORTHOPAEDIC SURGICAL CONSULTANT PC
Active
Organization
ORTHOPAEDIC SURGICAL CONSULTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE GOETZ (OFFICE MANAGER)
(718) 556-4700
Entity
Organization
Contact information
Practice address
9921 4TH AVE, BROOKLYN, NY 11209-8347
(718) 238-5565
(718) 748-3526
Mailing address
9921 4TH AVE, BROOKLYN, NY 11209-8347
(718) 238-5565
(718) 748-3526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
149171
NY
174400000X
Specialist
Primary
186226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060015
GHI
NY
05
—
00889818
—
NY
01
—
0119170
AETNA
NY
05
—
0814039
—
NY
01
—
149171
HIP
NY
01
—
149171COS
WORKERS COMP
NY
01
—
186226
HIP
NY
01
—
186226COS
WORKERS COMP
NY
01
—
1C2731
PHS
NY
01
—
2C2126
PHS
NY
01
—
5710697012
CIGNA
NY
01
—
JL073G5810
EMPIRE BLUE CROSS
NY
01
—
NS2413
OXFORD
NY
01
—
P475372
OXFORD INSURANCE
NY
01
—
RV043D8610
BLUE CROSS
NY
Enumeration date
12/19/2006
Last updated
10/26/2010
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