# MAIMONIDES MEDICAL CENTER MAIMONIDES CARDIOTHORACIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104929090
- **Authorized official:** STEPHEN LAHEY MD (DIRECTOR)
- **Authorized official phone:** (718) 283-8773

## Contact information

- **Practice address:** 4802 10TH AVE, BROOKLYN, NY 11219-2916
- **Practice address phone:** (718) 283-8773
- **Mailing address:** GPO BOX 30060, NEW YORK, NY 10087-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 05/21/2015