Organization
AHAVA MEDICAL OF BROOKLYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM GREENFIELD (CFO)
(718) 951-8800
Entity
Organization
Contact information
Practice address
16 SUMNER PL, BROOKLYN, NY 11206-4110
(718) 951-8800
(718) 951-0846
Mailing address
16 SUMNER PL, BROOKLYN, NY 11206-4110
(718) 951-8800
(718) 951-0846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157526-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157526-1
LICENSE#
NY
Enumeration date
09/21/2015
Last updated
09/21/2015
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