Organization
MAIMONIDES MEDICAL CENTER - MMC EMERGENCY PHYSICIANS FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DAVIDSON MD (CHAIRMAN)
(718) 283-8770
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8773
Mailing address
PO BOX 29580, NEW YORK, NY 10087-9580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01619070
—
NY
Enumeration date
09/08/2006
Last updated
02/13/2013
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