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Organization

BRIGHTON COMMUNITY MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED ALY P.T (C.E.O)
(718) 646-5500
Entity
Organization

Contact information

Practice address
330 NEPTUNE AVE, BROOKLYN, NY 11235-6846
(718) 646-5500
(718) 646-1975
Mailing address
330 NEPTUNE AVE, BROOKLYN, NY 11235-6846
(718) 646-5500
(718) 646-1975

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
013288
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02018293
NY
Enumeration date
01/02/2007
Last updated
08/22/2020
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