Organization
BROOKLYN MEDICAL SYSTEMS IPA 2
Active
Organization
BROOKLYN MEDICAL SYSTEMS IPA 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH KELLY (CHIEF EXECUTIVE OFFICER)
(718) 748-7316
Entity
Organization
Contact information
Practice address
9201 4TH AVE FL 4, BROOKLYN, NY 11209-7065
(718) 748-7316
(718) 748-5696
Mailing address
9201 4TH AVE FL 4, BROOKLYN, NY 11209-7065
(718) 748-7316
(718) 748-5696
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/27/2012
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