# MMC PEDRAM BRAL FPP

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

## Provider details

- **NPI number:** 1902147135
- **Authorized official:** MARTIN CAMMER (DIRECTOR)
- **Authorized official phone:** (718) 283-8773

## Contact information

- **Practice address:** 4802 10TH AVE, BROOKLYN, NY 11219-2916
- **Practice address phone:** (718) 283-8773
- **Mailing address:** 7001 AVENUE U, BROOKLYN, NY 11234-6128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NY | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013