Organization
BROOKLYN MEDICAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLIMY JACOBS (AUTHRORIZED OFFICIAL)
(845) 662-2404
Entity
Organization
Contact information
Practice address
1681 44TH ST, BROOKLYN, NY 11204-1049
(845) 662-2404
Mailing address
1681 44TH ST, BROOKLYN, NY 11204-1049
(845) 662-2404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/01/2022
Last updated
04/26/2023
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