Organization
CENTRAL BROOKLYN MEDICAL GROUP PC
Active
Other names
PREFERRED HEALTH PARTNERS / AdvantageCare Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENA SIMPSON CPMSM (AVP - CREDENTIALING)
(646) 680-2894
Entity
Organization
Contact information
Practice address
441 9TH AVE, 9TH FLOOR, NEW YORK, NY 10001-1623
(646) 680-2894
Mailing address
441 9TH AVE, 9TH FLOOR, NEW YORK, NY 10001-1623
(646) 680-2894
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03478728
—
NY
Enumeration date
05/18/2006
Last updated
06/04/2015
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