SUNY HEALTH SCIENCE CENTER AT BROOKLYN (NPI# 1831497007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831497007 |
| Entity Type | Organization |
| Organization Name | SUNY HEALTH SCIENCE CENTER AT BROOKLYN |
| Other Organization Name | SUNY DMC@LICH-PLASTIC 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 |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SUNY DMC@LICH-PLASTIC 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 |
| 1023316296 | Suny Health Science Center At Brooklyn | Neurological Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1295033462 | Suny Health Science Center At Brooklyn | 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215940671 | Gary Kimmel | Surgery | 112 Prospect Park W, Brooklyn, NY 11215-3710 | 2006-08-15 |
| 1720047053 | Afshin Parhiscar | Surgery | 134 Atlantic Ave, Brooklyn, NY 11201 | 2006-03-23 |
| 1396166054 | Kevin J Cho Md Pllc | Surgery | 263 7th Ave, Suite 5e, Brooklyn, NY 11215-7247 | 2013-12-26 |
| 1053617944 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-02-10 |
| 1073692984 | Thomas Woloszyn, Md | Surgery | 953 49th St, 4th Floor, Brooklyn, NY 11219-2923 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239590 | Rachel Susan Markow | Surgery | 229 7th St Ste 105, Garden City, NY 11530-5766 | 2019-08-08 |
| 1932614658 | Artesia Plastic Surgery, Pllc | Surgery | 6044 Main St Ste 106, Williamsville, NY 14221-6883 | 2017-12-04 |
| 1659882843 | Scott E Newman Md PC | Surgery | 1 Odell Plz Ste 277, Yonkers, NY 10701-1402 | 2017-10-16 |
| 1699181354 | Gynecology On Junction, P.C. | Surgery | 4023a Junction Blvd, Second Floor, Corona, NY 11368-2123 | 2014-07-02 |
| 1649683905 | Dr. Fugo Plastic Surgery, P.l.l.c. | Surgery | 92 Old Route 9w, Suite 100, New Windsor, NY 12553-5485 | 2014-06-04 |
| 1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
| 1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
| 1780941096 | Lauren B Shikowitz-behr | Surgery | 143 N Long Beach Rd Ste 4, Rockville Centre, NY 11570-4438 | 2012-04-12 |
| 1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
| 1093004640 | Joseph Andrew Ricci | Surgery | 1776 Eastchester Road, Division of Plastic Surgery, Second Floor, Bronx, NY 10461 | 2011-04-05 |
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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.