Organization
BRIGHTON PEDIATRIC CARE PC
Active
Organization
BRIGHTON PEDIATRIC CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILA MOMTAJ (MANAGING DIRECTOR)
(718) 368-3092
Entity
Organization
Contact information
Practice address
706 BANNER AVE, BROOKLYN, NY 11235-6957
(718) 368-3092
Mailing address
706 BANNER AVE, BROOKLYN, NY 11235-6957
(718) 368-3092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01415214
—
NY
Enumeration date
04/14/2021
Last updated
04/14/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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