Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MARIE PERITO RPA-C (PHYSICIAN ASSISTANT)
(917) 613-4350
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
1935 SHORE PKWY APT 16B, BROOKLYN, NY 11214-7116
(347) 374-3989
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
010910
NY
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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