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Organization
INTERFAITH MEDICAL CENTER
Active
Organization
INTERFAITH MEDICAL CENTER
Active
Parent organization
INTERFAITH MEDICAL CENTER
Other names
IMC Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERFAITH MEDICAL CENTER
Authorized official
MR. ROBERT MARIANI (SR. VP, CFO)
(718) 613-4003
Entity
Organization
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
(718) 613-6422
Mailing address
1545 ATLANTIC AVE, EAST BUILDING FINANCE DEPARTMENT, BROOKLYN, NY 11213-1122
(718) 613-6529
(718) 613-6422
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KA0200X
Allergy Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/10/2006
Last updated
01/20/2015
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