Organization
BRIGHTON BEACH MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE KAKOSSIAN (CEO)
(718) 833-8777
Entity
Organization
Contact information
Practice address
1180 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5801
(718) 833-8777
(718) 646-8400
Mailing address
1180 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5801
(718) 833-8777
(718) 646-8400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERT# 477215
THE JOINT COMMISION
NY
Enumeration date
05/10/2010
Last updated
05/10/2010
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