Organization
LLEWELLYN HYACINTHE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLEWELLYN MARC HYACINTHE MD (PRESIDENT)
(718) 638-9222
Entity
Organization
Contact information
Practice address
60 PLAZA ST E, ST 1L, BROOKLYN, NY 11238-5040
(718) 638-9222
(718) 857-1714
Mailing address
60 PLAZA ST E, ST 1L, BROOKLYN, NY 11238-5040
(718) 638-9222
(718) 857-1714
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
180086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01424322
—
NY
01
—
4S2611
EMPIRE BLUE CROSS
NY
Enumeration date
02/13/2008
Last updated
01/13/2015
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