Organization
BRIGHTON MEDICAL DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID ALAM M.D. (OWNER)
(917) 476-8977
Entity
Organization
Contact information
Practice address
1150 BRIGHTON BEACH AVE, #1CC, BROOKLYN, NY 11235-5901
(917) 476-8977
Mailing address
1150 BRIGHTON BEACH AVE, #1CC, BROOKLYN, NY 11235-5901
(917) 476-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
225100000X
Physical Therapist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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