Organization
OCEAN SIDE MEDICAL OF BROOKLYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAK VAID (MD/PRESIDENT)
(718) 934-7500
Entity
Organization
Contact information
Practice address
2792 OCEAN AVE, BROOKLYN, NY 11229-4729
(347) 275-6470
Mailing address
2647 CONEY ISLAND AVE, BROOKLYN, NY 11223-5502
(718) 934-7500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
223436
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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