Organization
MAIMONIDES MEDICAL CENTER
Active
Other names
MMC BAY PARKWAY PATHOLOGY LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN CAMMER (SR VP, FINANCE)
(718) 283-3900
Entity
Organization
Contact information
Practice address
6010 BAY PKWY, BROOKLYN, NY 11204-2567
(718) 283-8773
(718) 283-8796
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-3900
(718) 283-8796
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
7001020H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243641
—
NY
Enumeration date
01/31/2013
Last updated
07/18/2013
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