Organization
IMAD JOHN BAKOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD J BAKOSS M.D. (OWNER)
(718) 621-7100
Entity
Organization
Contact information
Practice address
2165 71ST ST, BROOKLYN, NY 11204-5526
(718) 621-7100
(718) 621-7103
Mailing address
2165 71ST ST, BROOKLYN, NY 11204-5526
(718) 621-7100
(718) 621-7103
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
129319
NY
207R00000X
Internal Medicine Physician
129319
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
129319
NY
207RP1001X
Pulmonary Disease Physician
Primary
129319
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
129319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00271187
—
NY
Enumeration date
05/02/2007
Last updated
09/19/2007
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