Organization
BROOKLYN EYE AND EAR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BENTSIANOV MD (MANAGING EMPLOYEE)
(718) 996-2260
Entity
Organization
Contact information
Practice address
40 WEST BRIGHTON AVENUE, SUITE 103, BROOKLYN, NY 11224
(718) 996-2260
Mailing address
40 WEST BRIGHTON AVENUE, SUITE 103, BROOKLYN, NY 11224
(718) 996-2260
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
211012
NY
Other
Enumeration date
08/07/2006
Last updated
06/05/2012
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