Organization
INTERFAITH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA ILIZIROV (STAFF PSYCHOLOGIST)
(718) 613-4984
Entity
Organization
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4984
(718) 613-4319
Mailing address
410 AVENUE X, 3 F, BROOKLYN, NY 11223-6052
(347) 254-6019
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
016742-1
NY
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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