Individual
ALBERT S DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 LINDEN BLVD, BROOKLYN, NY 11203-3016
(718) 287-5100
(718) 287-1848
Mailing address
576 LINDEN BLVD, BROOKLYN, NY 11203-3016
(718) 287-5100
(718) 287-1848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
139912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00694995
—
NY
Enumeration date
08/11/2005
Last updated
06/30/2014
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