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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
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