Organization
UNIVERSITY PHYSICIANS OF BROOKLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA RIVERA (MEDICAL BOARD DIRECTOR)
(718) 270-7379
Entity
Organization
Contact information
Practice address
450 CLARKSON AVE, SUITE A, BROOKLYN, NY 11203-2056
(718) 270-1821
(718) 270-1733
Mailing address
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2056
(718) 270-7379
(718) 270-1794
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
197859
NY
207RP1001X
Pulmonary Disease Physician
Primary
197859
NY
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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