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Organization

BROOK PLAZA OPTHALMOLOGY ASSOC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN C ACKERMAN (PRACTICE ADMINISTRATOR)
(718) 629-5590
Entity
Organization

Contact information

Practice address
1901 UTICA AVENUE, BROOKLYN, NY 11234-3225
(718) 968-8700
(718) 968-8743
Mailing address
1901 UTICA AVENUE, BROOKLYN, NY 11234-3225
(718) 968-8700
(718) 968-8743

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02079207
NY
Enumeration date
04/12/2007
Last updated
08/22/2020
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