Organization
CLARKSON MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GESNER LOUIS AUGUSTE M.D. (MEDICAL DIRECTOR)
(718) 941-7918
Entity
Organization
Contact information
Practice address
311 CLARKSON AVE, BROOKLYN, NY 11226-2203
(718) 941-7918
Mailing address
311 CLARKSON AVE, BROOKLYN, NY 11226-2203
(718) 941-7918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
161141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00881998
—
NY
Enumeration date
11/01/2006
Last updated
08/22/2020
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