Organization
BROOKLYN SELECT PHYSICIAN
Active
Organization
BROOKLYN SELECT PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIA TAYAB MD (CEO)
(917) 405-6727
Entity
Organization
Contact information
Practice address
170-12 HIGHLAND AVE, SUITE102, JAMAICA, NY 11432
(718) 233-4966
(718) 622-2323
Mailing address
1078 FULTON STREET, 1ST FLOOR, BROOKLYN, NY 11238
(718) 622-2300
(718) 622-2323
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
212345
NY
261Q00000X
Clinic/Center
217560
NY
Other
Enumeration date
10/16/2009
Last updated
02/13/2026
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