Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Green Horizons Office Based Surgery PLLC

Organization Multi-Specialty Clinic/Center · NPI 1073835641

Blue Green Horizons Office Based Surgery PLLC is a Multi-Specialty Clinic/Center in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Brooklyn Ave
Brooklyn, NY 11213-1908
Phone: (718) 498-7888
Fax: (718) 604-7890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 176352 (NY)

Record details

NPI number1073835641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelby Samuel — Owner · (718) 498-7888
NPI enumeratedFebruary 23, 2010
Last updated in NPPESFebruary 23, 2010
Mailing address200 Brooklyn Ave, Brooklyn, NY 11213-1908

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