Organization
CENTRAL MEDICAL SERVICES OF WESTROCK, PC
Active
Other names
CMSW
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HEARNS M.D. (CEO)
(718) 797-9111
Entity
Organization
Contact information
Practice address
111 LIVINGSTON STREET, SUITE #1901, BROOKLYN, NY 11201
(718) 797-9111
(718) 797-9876
Mailing address
P.O. BOX 24808, BROOKLYN, NY 11202
(718) 797-9111
(718) 797-9876
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18541
NY
174400000X
Specialist
Primary
185419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185419
LIC #
NY
01
—
CPM-OM,AN,GP
WCB RATING CODE
NY
Enumeration date
03/28/2007
Last updated
02/05/2016
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