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Organization
KINGSBROOK JEWISH MEDICAL CENTER
Active
Organization
KINGSBROOK JEWISH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRAN N BATHEJA (ASSISTANT VP)
(718) 604-5578
Entity
Organization
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1809
(718) 604-5000
Mailing address
158 W 27TH ST, 11TH FLOOR SOUTH, NEW YORK, NY 10001-6216
(212) 563-2497
(212) 563-6785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
007809
NY
207R00000X
Internal Medicine Physician
Primary
202704
NY
208100000X
Physical Medicine & Rehabilitation Physician
167289
NY
208100000X
Physical Medicine & Rehabilitation Physician
184245
NY
208100000X
Physical Medicine & Rehabilitation Physician
197828
NY
208VP0000X
Pain Medicine Physician
220673
NY
Other
Enumeration date
12/04/2008
Last updated
12/09/2008
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