Organization
UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
Active
Organization
UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
Active
Other names
Downstate Health Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT GUIDICE (ENROLLMENT MANAGER)
(718) 613-8481
Entity
Organization
Contact information
Practice address
450 CLARKSON AVE, ALL1-452, BROOKLYN, NY 11203-2056
(718) 270-2045
(718) 270-3763
Mailing address
450 CLARKSON AVE, MSC#80, BROOKLYN, NY 11203-2056
(718) 613-8481
(718) 613-8498
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02839792
—
NY
Enumeration date
05/30/2006
Last updated
05/28/2024
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