# MMC NEONATOLOGY FPP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801804299
- **Authorized official:** STEVEN SHELOV MD (CHAIRMAN, DEPARTMENT OF PEDIATRICS)
- **Authorized official phone:** (718) 283-7500

## Contact information

- **Practice address:** 4802 10TH AVENUE, BROOKLYN, NY 11219
- **Practice address phone:** (718) 283-8853
- **Practice address fax:** (718) 635-8872
- **Mailing address:** 977 48TH STREET, ATTENTION: KATHLYN ORLANDO, BROOKLYN, NY 11219
- **Mailing address phone:** (718) 283-8015
- **Mailing address fax:** (718) 635-7235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020