# UNIVERSITY PHYSICIANS OF BROOKLYN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Downstate Health Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689715476
- **Authorized official:** ALBERT GUIDICE (ENROLLMENT MANAGER)
- **Authorized official phone:** (718) 613-8481

## Contact information

- **Practice address:** 445 LENOX RD, SUITE D, BROOKLYN, NY 11203-2017
- **Practice address phone:** (718) 270-2036
- **Practice address fax:** (718) 270-3910
- **Mailing address:** 450 CLARKSON AVE, MSC\# 80, BROOKLYN, NY 11203-2056
- **Mailing address phone:** (718) 613-8481
- **Mailing address fax:** (718) 613-8498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 05/28/2024
