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General NPI Number Information
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NPI Number | 1861499857
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Entity Type | Organization
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Legal Business Name | MMC OB/GYN FPP
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 953 49TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2923
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Country | US
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Telephone | 718-283-7370
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Fax | 718-283-6053
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Provider Business Mailing Address
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Address Line | MMC GYN ONCOLOGY GPO BOX 27360
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City | NEW YORK
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State | NY
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Zip | 10087-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | VICTORIA FALCONE
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Credential |
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Telephone | 718-283-8864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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