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Organization
SOUTH BROOKLYN MEDICAL PC
Active
Organization
SOUTH BROOKLYN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORY SHTENDER MD (PRESIDENT)
(718) 975-2709
Entity
Organization
Contact information
Practice address
2119 E 15TH ST, BROOKLYN, NY 11229-4314
(718) 975-2709
(718) 975-2709
Mailing address
2119 E 15TH ST, BROOKLYN, NY 11229-4314
(718) 975-2709
(718) 975-2709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
218261
NY
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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