Healthcare Provider Details

I. General information

NPI: 1811231137
Provider Name (Legal Business Name): NEW YORK ORTHOPAEDIC HAND SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 PROSPECT PARK W
BROOKLYN NY
11215-2307
US

IV. Provider business mailing address

33 PROSPECT PARK W
BROOKLYN NY
11215-2307
US

V. Phone/Fax

Practice location:
  • Phone: 718-857-9843
  • Fax:
Mailing address:
  • Phone: 718-857-9843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA M LEVINE
Title or Position: PRESIDENT
Credential: M.D
Phone: 718-399-7100