Organization
THE MEDICAL PRACTICE OF BROOKLYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAD JOHN BAKOSS MD. (PHYSICIAN)
(718) 621-7100
Entity
Organization
Contact information
Practice address
2165 71ST ST, BROOKLYN, NY 11204-5526
(718) 621-7100
Mailing address
2165 71ST ST, BROOKLYN, NY 11204-5526
(718) 621-7100
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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