Organization
UNIVERSITY PHYSICIANS OF BROOKLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RIVERA (MEDICAL BOARD DIRECTOR)
(718) 270-7379
Entity
Organization
Contact information
Practice address
450 CLARKSON AVE, BOX 59, BROOKLYN, NY 11203-2056
(718) 270-7379
(718) 270-1794
Mailing address
450 CLARKSON AVE, BOX 59, BROOKLYN, NY 11203-2056
(718) 270-7379
(718) 270-1794
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
237685
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
237685
NY
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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