Organization
OB GYN ASSOCIATES AT LONG ISLAND COLLEGE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO-ANNE BROWN (MANAGER)
(718) 780-1683
Entity
Organization
Contact information
Practice address
97 AMITY ST, 3RD FLOOR, BROOKLYN, NY 11201-6004
(718) 780-1683
(718) 780-4987
Mailing address
PO BOX 31218, HARTFORD, CT 06150-1218
(914) 328-4500
(845) 565-6057
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02039412
—
NY
Enumeration date
03/02/2007
Last updated
05/08/2008
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