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MMC SURGICAL CRITICAL CARE FACULTY PRACTICE PLAN NPI 1154481802


NPI Information

NPI: 1154481802
Provider Name: MMC SURGICAL CRITICAL CARE FACULTY PRACTICE PLAN
Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

Address:
4802 10TH AVE
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8773
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MMC SURGICAL CRITICAL CARE FACULTY PRACTICE PLAN is a surgical critical care surgery in Brooklyn, NY. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. MMC SURGICAL CRITICAL CARE FACULTY PRACTICE PLAN NPI is 1154481802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4802 10TH AVE
BROOKLYN, NY
ZIP 11219-916
Phone: (718) 283-8773
Fax: (718) 283-8773

The provider's authorized official is Gail Simhon .
The authorized official title is Vp and has the following contact phone number (718) 283-7285.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 9/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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