Organization
MEDICAL DOCTOR DIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE ANDREWS CMBC (ACCOUNT MANAGER)
(718) 240-6703
Entity
Organization
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6703
Mailing address
1 BROOKDALE PLZ, ROOM LL91 RADIATION ONCOLOGY BASEMENT, BROOKLYN, NY 11212-3139
(718) 240-6703
(718) 240-6706
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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