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Organization
SHEEPSHEAD BAY MEDICAL ASSOCIATES, PC
Active
Organization
SHEEPSHEAD BAY MEDICAL ASSOCIATES, PC
Active
Other names
Sheepshead Bay Medical Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MANNING (MANAGER)
(718) 615-0162
Entity
Organization
Contact information
Practice address
2912 AVENUE X, BROOKLYN, NY 11235-1906
(718) 615-0162
(718) 934-1324
Mailing address
3632 NOSTRAND AVE STE 3, BROOKLYN, NY 11229-5308
(718) 615-0162
(718) 934-1324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184750564
—
NY
Enumeration date
02/27/2007
Last updated
03/27/2018
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