Organization
GREENE AVENUE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIDE STERLIN (PRESIDENT/TRUSTEE)
(570) 972-7511
Entity
Organization
Contact information
Practice address
1350 GREENE AVE FL 2, BROOKLYN, NY 11237-4902
(718) 628-8216
(718) 628-4755
Mailing address
1350 GREENE AVE FL 2, BROOKLYN, NY 11237-4902
(718) 628-8216
(718) 628-4755
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
157407
NY
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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