Organization
MMC SURGICAL CRITICAL CARE FACULTY PRACTICE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL SIMHON (VP)
(718) 283-7285
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8773
(718) 283-8773
Mailing address
GPO BOX 27374, NEW YORK, NY 10087-7374
(718) 283-8773
(718) 283-8773
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
09/20/2019
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