Healthcare Provider Details

I. General information

NPI: 1124184429
Provider Name (Legal Business Name): EDNA ANNE PYTLAK, MD & BRIANNE O'CONNOR, MD, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MONROE PL
BROOKLYN NY
11201-2602
US

IV. Provider business mailing address

35 MONROE PL
BROOKLYN NY
11201-2602
US

V. Phone/Fax

Practice location:
  • Phone: 718-834-1007
  • Fax:
Mailing address:
  • Phone: 718-834-1007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIANNE O'CONNOR
Title or Position: PARTNER
Credential: M.D.
Phone: 718-834-1007