Organization
MAIMONIDES MEDICAL CENTER - MMC RADIOLOGY FPP
Active
Organization
MAIMONIDES MEDICAL CENTER - MMC RADIOLOGY FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER BELTRAN M.D. (CHAIRMAN)
(718) 283-6157
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2844
(718) 283-6157
Mailing address
GPO BOX 27097, NEW YORK, NY 10087-7097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
02/13/2013
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