Organization
MMC PEDIATRIC CRITICAL CARE FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SHELOV MD (CHAIRMAN, DEPARTMENT OF PEDIATRICS)
(718) 283-7500
Entity
Organization
Contact information
Practice address
4802 10TH AVENUE, BROOKLYN, NY 11219
(718) 283-8854
(718) 635-6331
Mailing address
977 48TH STREET, ATTENTION: KATHLYN ORLANDO, BROOKLYN, NY 11219
(718) 283-8015
(718) 635-7235
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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