Organization
MMC STROKE CENTER FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS MATERA (MANAGER)
(718) 283-8773
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7670
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NY
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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