NPI 1003063371
Suny Downstate Medical Center Uhb
Practice location
- Address
- 450 Clarkson Ave, Brooklyn, NY 11203-2056
- Phone
- (718) 363-2908
- Mailing address
- 450 Clarkson Ave Box 59, Brooklyn, NY 11203-2056
Authorised official
- Name
- Tanika Lorick
- Title
- Credentials Coordinator
- Phone
- (718) 270-8880
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1003063371
- Entity type
- Organization
- NPI issued
- 19 Aug 2008
- Record last updated
- 19 Aug 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.