Organization
BROOKLYN WOMENS PAVILION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M JOSEPH (ADMINISTRATOR)
(718) 222-0123
Entity
Organization
Contact information
Practice address
44 COURT ST, SUITE 322, BROOKLYN, NY 11201-4405
(718) 222-0123
Mailing address
106-12 LIBERTY AVENUE, OZONE PARK, NY 11417-1811
(718) 322-1188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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