Organization
BIMC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HACKETT (VP)
(212) 256-3539
Entity
Organization
Contact information
Practice address
1408 OCEAN AVE, BROOKLYN, NY 11230-3814
(718) 943-0008
Mailing address
1408 OCEAN AVE, BROOKLYN, NY 11230-3814
(718) 943-0008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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