Organization
BROOK PLAZA AMBULATORY SURGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SCOTT MARMOR (ADMINISTRATOR CHIEF OPERATING OFFIC)
(718) 629-5590
Entity
Organization
Contact information
Practice address
5000 AVENUE K, BROOKLYN, NY 11234
(718) 968-1515
(718) 209-2295
Mailing address
1987 UTICA AVENUE, BROOKLYN, NY 11234
(718) 629-5590
(718) 629-2833
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7001263R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01178192
—
NY
Enumeration date
12/04/2006
Last updated
12/16/2009
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