Organization
CENTRAL BROOKLYN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCILLE MAZZA (ASST COO)
(718) 403-3519
Entity
Organization
Contact information
Practice address
345 SCHERMERHORN ST, BROOKLYN, NY 11217-1025
(718) 403-3519
Mailing address
345 SCHERMERHORN ST, BROOKLYN, NY 11217-1025
(718) 403-3519
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
239572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239572
LIC
NY
Enumeration date
10/11/2006
Last updated
08/22/2020
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