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Organization
PROSPECT PARK MEDICAL PLAZA PC
Active
Organization
PROSPECT PARK MEDICAL PLAZA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE BOGINSKY M.D. (MEDICAL DIRECTOR)
(718) 517-2500
Entity
Organization
Contact information
Practice address
15 OCEAN AVE, BROOKLYN, NY 11225-3601
(718) 517-2500
(718) 769-3255
Mailing address
15 OCEAN AVE, BROOKLYN, NY 11225-3601
(718) 517-2500
(718) 769-3255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215383
NY
Other
Enumeration date
12/27/2008
Last updated
12/27/2008
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