Organization
SUNY DOWNSTATE MEDICAL CENTER UHB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIKA LORICK (CREDENTIALS COORDINATOR)
(718) 270-8880
Entity
Organization
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2056
(718) 363-2908
Mailing address
450 CLARKSON AVE, BOX 59, BROOKLYN, NY 11203-2056
(718) 270-8880
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
248441
NY
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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