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

Brooklyn Select Physician

Organization Clinic/Center · NPI 1477888980

Brooklyn Select Physician is a Clinic/Center in Jamaica, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

170-12 Highland Ave SUITE102
Jamaica, NY 11432
Phone: (718) 233-4966
Fax: (718) 622-2323
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 212345 (NY)
Clinic/Center Taxonomy 261Q00000X · Licence 217560 (NY)

Record details

NPI number1477888980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samia Tayab — Ceo · (917) 405-6727
NPI enumeratedOctober 16, 2009
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address1078 Fulton Street, 1st Floor, Brooklyn, NY 11238

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