Organization
SUNY HEALTH SCIENCE CENTER AT BROOKLYN
Active
Other names
SUNY DMC @LICH-RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN VIENTOS - SOTIRIADIS (COO)
(718) 270-2025
Entity
Organization
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1000
Mailing address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
03/11/2011
Last updated
04/04/2013
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