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Organization
BROOK PLAZA AMBULATORY SURGICAL CENTER, INC.
Active
Organization
BROOK PLAZA AMBULATORY SURGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SCOTT MARMOR (ADMINISTRATOR CHIEF OPERATING OFFIC)
(718) 629-5590
Entity
Organization
Contact information
Practice address
5000 AVENUE K, BROOKLYN, NY 11234
(718) 968-1515
(718) 209-2295
Mailing address
1987 UTICA AVENUE, BROOKLYN, NY 11234
(718) 629-5590
(718) 629-2833
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7001263R
NY
Other
Enumeration date
12/04/2006
Last updated
12/16/2009
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