Organization
FAMILY PHYSICIANS AT LICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SEPKOWITZ (ANALYST)
(718) 780-1245
Entity
Organization
Contact information
Practice address
349 HENRY ST, BROOKLYN, NY 11201-5551
(718) 780-1245
Mailing address
160 WATER ST, 20FL, NEW YORK, NY 10038-4922
(212) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
08/01/2008
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