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Organization
SUNY DOWNSTATE @BAYRIDGE
Active
Organization
SUNY DOWNSTATE @BAYRIDGE
Active
Parent organization
SUNY DOWNSTATE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNY DOWNSTATE MEDICAL CENTER
Authorized official
DEBRA CAREY (CEO)
(718) 270-1000
Entity
Organization
Contact information
Practice address
699 92ND ST, BROOKLYN, NY 11228-3619
(718) 567-1400
Mailing address
699 92ND STREET, BROOKLYN, NY 11228
(718) 567-1400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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