SUNY HEALTH SCIENCE CENTER AT BROOKLYN (NPI# 1295033462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295033462 |
| Entity Type | Organization |
| Organization Name | SUNY HEALTH SCIENCE CENTER AT BROOKLYN |
| Other Organization Name | SUNY DMC@LICH-SURGERY |
| Practice Address |
339 Hicks St Brooklyn NY 11201-5509 |
| Practice Telephone | 7187801000 |
| Mailing Telephone | 7187801000 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MARILYN VIENTOS - SOTIRIADIS (COO) |
| Authorized Official Telephone | 7182702025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SUNY DMC@LICH-SURGERY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104124379 | Suny Health Science Center At Brooklyn | Urology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1922306190 | Suny Health Science Center At Brooklyn | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1386942555 | Suny Health Science Center At Brooklyn | Emergency Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1831497007 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1023316296 | Suny Health Science Center At Brooklyn | Neurological Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851640 | Suny Health Science Center At Brooklyn | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851707 | Suny Health Science Center At Brooklyn | Otolaryngology | 134 Atlantic Ave, Brooklyn, NY 11201-5502 | 2011-03-10 |
| 1720386063 | Suny Health Science Center At Brooklyn | Rehabilitation Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-10 |
| 1689972150 | Suny Health Science Center At Brooklyn | Obstetrics & Gynecology | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY HEALTH SCIENCE CENTER AT BROOKLYN | 450 Clarkson Ave, Brooklyn, NY 11203-2056 |
| Street Address |
339 HICKS ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901679 | Ciril J Godec | Urology | 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 | 2005-06-10 |
| 1376985069 | Parul Patel | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-07-23 |
| 1124368402 | Sonia A D'amelio Raymond | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-02-22 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| 1184983215 | Jonathan Shih-chen Kung | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-05-09 |
| 1861759169 | Hyoung Kyu Oh | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-04-12 |
| 1295009926 | Rose Suzette Bristol | Physician Assistant | 339 Hicks St, 3rd Floor Fuller, Brooklyn, NY 11201-5509 | 2012-02-27 |
| 1386917383 | Pearline Mentis Thompson | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-02-22 |
| 1720374986 | Ammar Mahmoud | Obstetrics & Gynecology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-06-24 |
| 1205129459 | Simran Kaur Mann | Internal Medicine | 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 | 2011-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639694805 | Bay Ridge Surgi-center LLC | Surgery | 370 Bay Ridge Pkwy Ste 1, Brooklyn, NY 11209-3164 | 2017-08-09 |
| 1871977298 | Siarhei Melnikau | Surgery | 321 86th St Apt 2d, Brooklyn, NY 11209-5027 | 2015-07-15 |
| 1356757868 | Cristina Pate | Surgery | 5 Maspeth Ave, Brooklyn, NY 11211-2508 | 2014-07-03 |
| 1740601152 | Guy Yves Augustin | Surgery | 2603 Avenue D, Brooklyn, NY 11226-7811 | 2014-01-02 |
| 1720420763 | Mohammad Hamshow | Surgery | 948 48th St Fl 3, Brooklyn, NY 11219-2918 | 2013-07-18 |
| 1376984310 | Maryam Saeed | Surgery | 450 Clarkson Ave # 40, Brooklyn, NY 11203-2012 | 2013-07-06 |
| 1346680790 | Joseph A Sidaoui | Surgery | 27 Kingsland Ave Apt 2l, Brooklyn, NY 11211-1551 | 2013-06-30 |
| 1336584333 | Joseph Rothman | Surgery | 1316 E 24th St, Brooklyn, NY 11210-5143 | 2013-05-03 |
| 1083954648 | Jacques Duperval, Md, Fics, Facs, PC | Surgery | 60 Plaza Street East, Suite S-3, Brooklyn, NY 11238 | 2013-02-19 |
| 1700123189 | Liba Shaffer | Surgery | 9 E 91st St, Brooklyn, NY 11212-1501 | 2013-01-06 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.