Organization
KINGSBROOK MEDICAL ASSOCIATES PC
Active
Parent organization
KINGSBROOK MEDICAL ASSOCIATES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINGSBROOK MEDICAL ASSOCIATES, PC
Authorized official
MR. KIRAN BATHEJA (VICE PRESIDENT)
(718) 604-5578
Entity
Organization
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1891
(718) 604-5000
Mailing address
6880 W SNOWVILLE RD, SUITE 210, BRECKSVILLE, OH 44141-3254
(800) 261-0048
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
11/27/2012
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