Organization
GARY KIMMEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY KIMMEL M.D. (PRESIDENT)
(718) 832-9488
Entity
Organization
Contact information
Practice address
112 PROSPECT PARK W, BROOKLYN, NY 11215-3710
(718) 832-9488
(718) 369-1753
Mailing address
112 PROSPECT PARK W, BROOKLYN, NY 11215-3710
(718) 832-9488
(718) 369-1753
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
214093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02310525
—
NY
Enumeration date
05/01/2008
Last updated
05/01/2008
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