BROOKLYN SELECT PHYSICIAN NPI 1477888980

NPI Information

  • NPI: 1477888980
  • Provider Name: BROOKLYN SELECT PHYSICIAN
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1236 FULTON ST
    BROOKLYN, NY
    ZIP 11216
  • Phone: (718) 622-2300

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NPI Details

BROOKLYN SELECT PHYSICIAN is a clinic center in Brooklyn, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BROOKLYN SELECT PHYSICIAN NPI is 1477888980. The provider is registered as an organization entity type.

The provider's business location address is:

1236 FULTON ST
BROOKLYN, NY
ZIP 11216-093
Phone: (718) 622-2300
Fax: (718) 622-2323

The provider's authorized official is Samia Tayab .
The authorized official title is Ceo and has the following contact phone number (718) 622-2300.

The enumeration date for this NPI number is 10/16/2009 and was last updated on 10/16/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center217560NEW YORKNo
2261Q00000XClinic/Center212345NEW YORKYes

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: 11/21/2025

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