Organization
OCEAN PARKWAY PEDIATRIC PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIZA CHOBRUTSKAYA (BILLING MANAGER)
(718) 236-1056
Entity
Organization
Contact information
Practice address
515 AVENUE I, BROOKLYN, NY 11230-2653
(718) 377-8800
Mailing address
515 AVENUE I, BROOKLYN, NY 11230-2653
(718) 377-8800
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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