Organization
BROOKLYN FAMILY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK ROBERT LOPEZ MD (OWNER)
(718) 783-3919
Entity
Organization
Contact information
Practice address
60 PLAZA ST E, SUITE E, BROOKLYN, NY 11238-5040
(718) 783-3919
Mailing address
PO BOX 274, MANHASSET, NY 11030-0274
(516) 627-3354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
117032
NY
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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