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UNIVERSITY PHYSICIANS OF BROOKLYN INC. NPI 1376590828


NPI Information

NPI: 1376590828
Provider Name: UNIVERSITY PHYSICIANS OF BROOKLYN, INC.

Doing Business As: DOWNSTATE IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
450 CLARKSON AVE
2ND FLOOR
BROOKLYN, NY
ZIP 11203
Phone: (718) 270-1603
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UNIVERSITY PHYSICIANS OF BROOKLYN, INC. is a diagnostic radiology radiology in Brooklyn, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UNIVERSITY PHYSICIANS OF BROOKLYN, INC. NPI is 1376590828. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Downstate Imaging.

The provider's business location address is:

450 CLARKSON AVE
2ND FLOOR
BROOKLYN, NY
ZIP 11203-056
Phone: (718) 270-1603
Fax: (718) 270-2667

The provider's authorized official is Albert Guidice .
The authorized official title is Enrollment Manager and has the following contact phone number (718) 613-8481.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 3/21/2023.


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
12085R0204XRadiologyVascular & Interventional RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102321093MEDICAIDNEW YORK

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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