Healthcare Provider Details

I. General information

NPI: 1881808996
Provider Name (Legal Business Name): BROOKLYN AMBULATORY PHYSICIANS ASSOCIATES,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 10/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 43RD ST
BROOKLYN NY
11232-3609
US

IV. Provider business mailing address

313 43RD ST
BROOKLYN NY
11232-3609
US

V. Phone/Fax

Practice location:
  • Phone: 718-369-1900
  • Fax: 718-965-4157
Mailing address:
  • Phone: 718-369-1900
  • Fax: 718-965-4157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY LAZAR
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 718-369-1900