Organization
SUNY DOWNSTATE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN VIENTOS-SOTIRIADIS (COO)
(718) 270-2025
Entity
Organization
Contact information
Practice address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 270-1000
Mailing address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 270-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02160589
—
NY
Enumeration date
06/30/2006
Last updated
04/04/2013
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