Organization
WOODHULL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD FISHKIN MD (MEDICAL DIRECTOR)
(718) 963-8569
Entity
Organization
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-5806
Mailing address
665 E 84TH ST, BROOKLYN, NY 11236-3427
(718) 241-7141
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
010405
NY
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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