Organization
MMC DIVISION OF BREAST SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARUSHEELA ANDAZ MD (DEPARTMENT HEAD)
(718) 283-8773
Entity
Organization
Contact information
Practice address
745 64TH ST STE 1, BROOKLYN, NY 11220-4753
(718) 765-2570
(718) 765-2569
Mailing address
6300 8TH AVE, BROOKLYN, NY 11220-4718
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
09/16/2024
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