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NPI Code Detail

MEDICARE: NEW YORK ROBOTIC THORACIC AND ENDOVASCULAR SURGEONS PC

MEDICARE: NEW YORK ROBOTIC THORACIC AND ENDOVASCULAR SURGEONS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number : 1740527043
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK ROBOTIC THORACIC AND ENDOVASCULAR SURGEONS PC
Provider Business Mailing Address
First Line : 8318 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4413
Country : US
Telephone Number : 718-748-0500
Fax Number : 718-748-5539
Provider Business Practice Location Address
First Line : 8318 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4413
Country : US
Telephone Number : 718-748-0500
Fax Number : 718-748-5539
Authorized Official
Title or Position : PRESIDENT
Name : DR. GREGORY R BREVETTI
Credential : M.D.
Telephone Number : 718-748-0500
Provider Enumeration Date : 01/07/2013
Last Update Date : 01/07/2013

Similar Medicare Providers

1619954435 — DR. GREGORY R. BREVETTI M.D.
Practice Location Address:
8318 4TH AVE
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11209-4413
Practice Phone: 718-748-0500
Practice Fax: 718-748-5539
1427011667 — DR. EVA NG PSYD
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1578582292 — DR. MARK H GENOVESI M.D.
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1992718621 — CHIHEE CHRISTINE HUH D.O.
Practice Location Address:
8318 4TH AVE
BROOKLYN, NY
11209-4413
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Practice Fax:
1679670210 — INTERBORO SURGICAL ASSOCIATES, P.C.
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8318 4TH AVE
BROOKLYN, NY
11209-4413
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1962720425 — DR. KIMBERLY SONG MD
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