Healthcare Provider Details

I. General information

NPI: 1326148206
Provider Name (Legal Business Name): REPRODUCTIVE MEDICINE ASSOCIATES OF BROOKLYN LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 EAST 12 STREET SUITE 401
BROOKLYN NY
11229-1064
US

IV. Provider business mailing address

1725 EAST 12 STREET SUITE 401
BROOKLYN NY
11229-1064
US

V. Phone/Fax

Practice location:
  • Phone: 718-375-6400
  • Fax: 718-375-1822
Mailing address:
  • Phone: 718-375-6400
  • Fax: 718-375-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. JESSICA ROSENBERG BROWN
Title or Position: PARTNER
Credential: MD
Phone: 718-375-6400