Organization
BROOKDALE PLAZA NEPHROLOGY ASSOC. PC
Active
Other names
Brookdale Plaza Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAN-YIH CHOU MD (VICE PRESIDENT)
(718) 240-5615
Entity
Organization
Contact information
Practice address
1 BROOKDALE PLZ, ROOM 169CHC, BROOKLYN, NY 11212-3139
(718) 240-5615
(718) 485-4064
Mailing address
1 BROOKDALE PLZ, ROOM 169CHC, BROOKLYN, NY 11212-3139
(718) 240-5615
(718) 485-4064
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011077
GHI
NY
05
—
00429410
—
NY
01
—
0087129
AETNA US HEALTHCARE
NY
Enumeration date
11/28/2005
Last updated
07/01/2013
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