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Organization
SUNY HEALTH SCIENCE CENTER AT BROOKLYN
Active
Organization
SUNY HEALTH SCIENCE CENTER AT BROOKLYN
Active
Other names
SUNY DMC@LICH-PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN VIENTOS - SOTIRIADIS (COO)
(718) 270-2025
Entity
Organization
Contact information
Practice address
97 AMITY ST, BROOKLYN, NY 11201-6004
(718) 780-1070
Mailing address
97 AMITY ST, BROOKLYN, NY 11201-6004
(718) 780-1070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080I0007X
Pediatric Clinical & Laboratory Immunology Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080T0002X
Pediatric Medical Toxicology Physician
—
—
Other
Enumeration date
03/01/2011
Last updated
04/04/2013
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