Organization
BRMI @ 5TH AVENUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROKH ABIRI (PRESIDENT)
(718) 238-7000
Entity
Organization
Contact information
Practice address
9020 5TH AVE, BROOKLYN, NY 11209-5908
(718) 880-3066
(718) 880-3067
Mailing address
7601 4TH AVE, BROOKLYN, NY 11209-3207
(718) 880-3066
(718) 880-3067
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02390045
—
NY
Enumeration date
07/16/2015
Last updated
07/16/2015
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