Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUSAN MALIS (ADMINISTRATIVE COORDINATOR, MU)
(718) 283-5694
Entity
Organization
Contact information
Practice address
4802 TENTH AVENUE, BROOKLYN, NY 11219
(718) 283-8471
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8471
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
175663
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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