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Organization
CONEY ISLAND MEDICAL PRACTICE PLAN
Active
Organization
CONEY ISLAND MEDICAL PRACTICE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHA PENTYALH (DIRECTOR)
(631) 675-9300
Entity
Organization
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3361
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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