# BRIGHTON MEDICAL DIAGNOSTIC

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

## Provider details

- **NPI number:** 1891925095
- **Authorized official:** HAMID ALAM M.D. (OWNER)
- **Authorized official phone:** (917) 476-8977

## Contact information

- **Practice address:** 1150 BRIGHTON BEACH AVE, \#1CC, BROOKLYN, NY 11235-5901
- **Practice address phone:** (917) 476-8977
- **Mailing address:** 1150 BRIGHTON BEACH AVE, \#1CC, BROOKLYN, NY 11235-5901
- **Mailing address phone:** (917) 476-8977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009