MEDICARE: DR. HAYAMA BRILL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	238834	NY

General Provider Information

NPI Number	:	1831397082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAYAMA BRILL M.D.

Provider Business Mailing Address
First Line	:	1725 E 12TH ST
Second Line	:	SUITE # 301
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1028
Country	:	US
Telephone Number	:	718-336-1909
Fax Number	:	718-336-1929

Provider Business Practice Location Address
First Line	:	1725 E 12TH ST
Second Line	:	SUITE # 301
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1028
Country	:	US
Telephone Number	:	718-336-1909
Fax Number	:	718-336-1929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	02/08/2024

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