Organization
BROOKLYN INFECTIOUS DISEASE MEDICINE CONSULTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE MOON (ADMINISTRATOR)
(718) 265-7088
Entity
Organization
Contact information
Practice address
312 NEPTUNE AVE, BROOKLYN, NY 11235-6994
(718) 934-7593
Mailing address
PO BOX 350426, BROOKLYN, NY 11235-0426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
01/24/2018
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