Healthcare Provider Details
I. General information
NPI: 1750225413
Provider Name (Legal Business Name): BROOKLYN COMPREHENSIVE HEALTHCARE MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3047 BRIGHTON 6TH ST
BROOKLYN NY
11235-6490
US
IV. Provider business mailing address
3047 BRIGHTON 6TH ST
BROOKLYN NY
11235-6490
US
V. Phone/Fax
- Phone: 718-743-4830
- Fax:
- Phone: 718-743-4830
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
UME
FARWA
Title or Position: MD
Credential: MD
Phone: 718-743-4830