Organization
UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
Active
Organization
UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN VIENTOS-SOTIRIADIS (CHIEF OPERATING OFFICER)
(718) 270-2025
Entity
Organization
Contact information
Practice address
450 CLARKSON AVE, MSC#80, BROOKLYN, NY 11203-2012
(718) 613-8481
(718) 613-8498
Mailing address
450 CLARKSON AVE, MSC#80, BROOKLYN, NY 11203-2012
(718) 613-8481
(718) 613-8498
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
207N00000X
Dermatology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up