Organization
OBGYN ASSOCIATES AT LICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD LEDERMAN MD (INTERIM CHAIRMAN)
(718) 780-1647
Entity
Organization
Contact information
Practice address
97 AMITY ST, BROOKLYN, NY 11201
(718) 780-1384
(718) 780-4987
Mailing address
PO BOX 31218, HARTFORD, CT 06150-1218
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/21/2006
Last updated
08/22/2020
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