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Organization

CENTRAL BROOKLYN MEDICAL GROUP

Active
Other names
Preferred health Partners
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLY KERNISANT MD (EXECUTIVE DIRECTOR OF CLINICAL PRAC)
(718) 422-8030
Entity
Organization

Contact information

Practice address
477 ATLANTIC AVE, BROOKLYN, NY 11217-2981
(718) 403-3567
(718) 403-3548
Mailing address
477 ATLANTIC AVE, BROOKLYN, NY 11217-2981
(718) 403-3567
(718) 403-3548

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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