# BROOK PLAZA AMBULATORY SURGICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1427116367
- **Authorized official:** MR. BRIAN SCOTT MARMOR (ADMINISTRATOR CHIEF OPERATING OFFIC)
- **Authorized official phone:** (718) 629-5590

## Contact information

- **Practice address:** 5000 AVENUE K, BROOKLYN, NY 11234
- **Practice address phone:** (718) 968-1515
- **Practice address fax:** (718) 209-2295
- **Mailing address:** 1987 UTICA AVENUE, BROOKLYN, NY 11234
- **Mailing address phone:** (718) 629-5590
- **Mailing address fax:** (718) 629-2833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7001263R | NY | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 12/16/2009