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Organization

MMC PLASTIC SURGERY FPP

Active
Parent organization
MAIMONIDES MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAIMONIDES MEDICAL CENTER
Authorized official
DR. LLOYD B GAYLE MD (CHIEF, PLASTIC SURGERY)
(718) 765-2570
Entity
Organization

Contact information

Practice address
745 64TH ST, BROOKLYN, NY 11220-4745
(718) 283-7022
Mailing address
PO BOX 30074, NEW YORK, NY 10087-0074

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01361999
NY
Enumeration date
05/06/2010
Last updated
12/22/2025
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