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

Maimonides Faculty Practice Plan

Organization Internal Medicine Physician · NPI 1053344846

Maimonides Faculty Practice Plan is an Internal Medicine Physician in Brooklyn, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (718) 283-8700
Fax: (718) 635-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1053344846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayesha Amin — Senior Vp/ Chief Revenue Officer · (718) 283-8700
NPI enumeratedJuly 8, 2006
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing addressPo Box 27642, New York, NY 10087-7642

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