Organization
SEL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL LATORTUE MD (MD)
(718) 875-9200
Entity
Organization
Contact information
Practice address
350 FULTON ST, BROOKLYN, NY 11201-5137
(718) 875-9200
(718) 875-9211
Mailing address
350 FULTON ST, BROOKLYN, NY 11201-5137
(718) 875-9200
(718) 875-9211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
001137
NY
261QH0100X
Health Service Clinic/Center
001137
NY
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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