Organization
ORTHOPEDIC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHOUEKA (CHAIRMAN MD)
(718) 283-7889
Entity
Organization
Contact information
Practice address
6010 BAY PKWY, 7TH FLOOR, BROOKLYN, NY 11204-6079
(718) 283-7400
(718) 283-6199
Mailing address
6010 BAY PKWY, 7TH FLOOR, BROOKLYN, NY 11204-6079
(718) 283-7400
(718) 283-6199
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
280110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04402044
—
NY
Enumeration date
08/16/2016
Last updated
08/16/2016
Update your record
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