Organization
E. TWENTE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER TWENTE M.D. (OWNER)
(718) 622-5796
Entity
Organization
Contact information
Practice address
45 PLAZA ST W, APT 2-B, BROOKLYN, NY 11217-3952
(718) 622-5796
Mailing address
45 PLAZA ST W, APT 2-B, BROOKLYN, NY 11217-3952
(718) 622-5796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
085548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00131228
—
NY
Enumeration date
10/06/2009
Last updated
10/06/2009
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