South Elliot South Portland Medical Comprehensive Medical Center
South Elliot South Portland Medical Comprehensive Medical Center is a Family Medicine Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
739 Fulton StBrooklyn, NY 11217-1560
Phone: (718) 858-5088
Fax: (718) 858-5278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 147143 (NY) |
|---|
Record details
| NPI number | 1184844870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Camille Philippe — Medical Director · (718) 858-5088 |
| Other names | Camille Philippe |
| NPI enumerated | April 26, 2007 |
| Last updated in NPPES | May 16, 2008 |
| Mailing address | Gpo 27007, New York, NY 10087-7007 |
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