Organization
MMC PEDIATRICS FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SHELOV MD (CHAIRMAN, DEPARTMENT OF PEDIATRICS)
(718) 283-7500
Entity
Organization
Contact information
Practice address
948 48TH STREET, BROOKLYN, NY 11219
(718) 283-8260
(718) 283-6147
Mailing address
977 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8015
(718) 635-7235
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064473
—
NY
Enumeration date
07/28/2006
Last updated
05/03/2011
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