Organization
BROOKDALE UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJANA DONTUKURTHY M.D (PGY1)
(917) 902-1779
Entity
Organization
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 986-4075
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 986-4075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YLF87920583
EMPIRE BLUECROSS BLUE SHIELD
NY
Enumeration date
04/28/2014
Last updated
04/28/2014
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