Organization
BROOK ISLAND MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY CHEMO (CREDENTIALING MANGER)
(718) 605-2395
Entity
Organization
Contact information
Practice address
2 SEAVER AVE, STATEN ISLAND, NY 10306-2606
(718) 980-5888
Mailing address
2 SEAVER AVE, STATEN ISLAND, NY 10306-2606
(718) 980-5888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
04/20/2008
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