Individual
TATE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1000
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
301045
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
301045
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
08/20/2014
Last updated
09/16/2020
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