Organization
GENERAL SURGERY AT LICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE CASDEN (CREDENTIALING MANAGER)
(516) 569-0696
Entity
Organization
Contact information
Practice address
350 HENRY ST, BROOKLYN, NY 11201-6001
(516) 569-0696
(516) 569-3677
Mailing address
350 HENRY ST, BROOKLYN, NY 11201-6001
(516) 569-0696
(516) 569-3677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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