# CENTRAL BROOKLYN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred health Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821414780
- **Authorized official:** DR. LESLY KERNISANT MD (EXECUTIVE DIRECTOR OF CLINICAL PRAC)
- **Authorized official phone:** (718) 422-8030

## Contact information

- **Practice address:** 477 ATLANTIC AVE, BROOKLYN, NY 11217-2981
- **Practice address phone:** (718) 403-3567
- **Practice address fax:** (718) 403-3548
- **Mailing address:** 477 ATLANTIC AVE, BROOKLYN, NY 11217-2981
- **Mailing address phone:** (718) 403-3567
- **Mailing address fax:** (718) 403-3548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2014
- **Last updated:** 03/14/2014