Organization
BROOKLYN PLAZA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAZETA DUNCAN MOORE (CEO)
(718) 596-9800
Entity
Organization
Contact information
Practice address
650 FULTON ST, BROOKLYN, NY 11217-1517
(718) 596-9800
Mailing address
650 FULTON ST, BROOKLYN, NY 11217-1517
(718) 596-9800
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
132006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112937992
—
NY
Enumeration date
03/14/2017
Last updated
03/14/2017
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