Organization
MMC PEDIATRICS FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY AVNER MD (DEPARTMENT, CHAIR OF PEDIATRICS)
(718) 283-6150
Entity
Organization
Contact information
Practice address
6010 BAY PKWY STE 902, BROOKLYN, NY 11204-6091
(718) 283-7500
(718) 748-4203
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
06/09/2026
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