33D0147335 CLIA NUMBER - ISAAC MADEB MD PC

Laboratory Demographics

CLIA Number: 33D0147335

Facility Name: ISAAC MADEB MD PC

Facility Address:
2241 OCEAN AVENUE
BROOKLYN, NY
ZIP 11229
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Facility Phone Number: 718 375-3746

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467452086

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	33D0147335
LAB Type	Physician Office
Facility Name	ISAAC MADEB MD PC
Street	2241 OCEAN AVENUE
City	BROOKLYN
State	NY
ZIP	11229
Phone	718 375-3746
CertificateType	4
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024