Maimonides Medical Center Maimonides Primary Care Fpp

NPI #1013968593 in Brooklyn, New York

Provider Information

NPI Number: 1013968593
Entity Type: Organization
Organization Name: Maimonides Medical Center Maimonides Primary Care Fpp
Primary Specialty: Internal Medicine
Enumeration Date: May 12, 2006
Last Updated: Feb 13, 2013

Practice Location

Address: 1250 57TH ST
City: Brooklyn
State: New York
ZIP Code: 11219-4537
Phone: (718) 283-7732

Authorized Official

Name: DR. EDGAR LICHSTEIN, M.D.
Title: CHAIRMAN
Phone: (781) 283-7732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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