Organization
CENTRAL PRIVATE MEDICAL PRACTICE OF BROOKLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA A WESLEY M.D. (PRESIDENT)
(718) 258-5602
Entity
Organization
Contact information
Practice address
1476 E 48TH ST, BROOKLYN, NY 11234-3102
(718) 258-5602
(718) 258-5605
Mailing address
1476 E 48TH ST, BROOKLYN, NY 11234-3102
(718) 258-5602
(718) 258-5605
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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