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Suny Downstate Medical Center Uhb

Obstetrics & Gynecology in Brooklyn, NY. Organization (NPI-2).

NPI number1003063371
StatusActive
Last updated in NPPESAug 19, 2008

Details

NPI
1003063371
Entity type
Organization (NPI-2)
Legal business name
Suny Downstate Medical Center Uhb
Organization subpart
No
Enumeration date
Aug 19, 2008
Last updated
Aug 19, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology248441NYYes

Practice location

450 Clarkson Ave
Brooklyn, NY 11203-2056

Phone 718-363-2908

Mailing address

450 Clarkson Ave
Box 59
Brooklyn, NY 11203-2056

Phone 718-270-8880

Authorized official

Tanika Lorick
Credentials Coordinator
7182708880

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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