Organization
KBJ MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSETTE THOMAS SYLVAN (PRACTICE ADMINISTRATOR)
(646) 842-3552
Entity
Organization
Contact information
Practice address
407 ROCKAWAY AVE FL 3, BROOKLYN, NY 11212-5635
(718) 644-0961
Mailing address
3225 FENTON AVE, BRONX, NY 10469-2801
(718) 547-0741
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
272090
NY
Other
Enumeration date
01/23/2017
Last updated
09/22/2019
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