Mmc Pediatric Ambulatory Care
Pediatrics in Brooklyn, NY. Organization (NPI-2).
NPI number1477569879
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477569879
- Entity type
- Organization (NPI-2)
- Legal business name
- Mmc Pediatric Ambulatory Care
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
1301 57th StreetBrooklyn, NY 11219
Phone 718-283-3640 · Fax 718-283-3602
Mailing address
977 48th StreetAttention: Kathlyn Orlando
Brooklyn, NY 11219
Phone 718-283-8015 · Fax 718-635-7235
Authorized official
Steven Shelov
Chairman, Department Of Pediatrics
7182837500
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