Individual
BROOKS A MIRRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
Mailing address
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230, WOODHULL MEDICAL AND MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
121075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00691956
—
NY
Enumeration date
03/21/2006
Last updated
05/19/2014
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