MEDICARE: DR. MONICA M. DWECK M.D.

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
1	207W00000X	Ophthalmology Physician	173216-1	NY

General Provider Information

NPI Number	:	1821071333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA M. DWECK M.D.

Provider Business Mailing Address
First Line	:	300 CADMAN PLAZA WEST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201
Country	:	US
Telephone Number	:	929-210-6000
Fax Number	:	929-210-6001

Provider Business Practice Location Address
First Line	:	300 CADMAN PLZ W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2701
Country	:	US
Telephone Number	:	929-210-6010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	02/10/2014

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