SUNY HEALTH SCIENCE CENTER AT BROOKLYN (NPI# 1770881245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770881245 |
| Entity Type | Organization |
| Organization Name | SUNY HEALTH SCIENCE CENTER AT BROOKLYN |
| Other Organization Name | SUNY DMC@LICH-FAMILY PRACTICE |
| Practice Address |
97 Amity St Brooklyn NY 11201-6004 |
| Practice Telephone | 7187801000 |
| Mailing Telephone | 7187801000 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MARILYN VIENTOS - SOTIRIADIS (COO) |
| Authorized Official Telephone | 7182702025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SUNY DMC@LICH-FAMILY PRACTICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104124379 | Suny Health Science Center At Brooklyn | Urology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1922306190 | Suny Health Science Center At Brooklyn | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1386942555 | Suny Health Science Center At Brooklyn | Emergency Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1831497007 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1023316296 | Suny Health Science Center At Brooklyn | Neurological Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1295033462 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851640 | Suny Health Science Center At Brooklyn | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851707 | Suny Health Science Center At Brooklyn | Otolaryngology | 134 Atlantic Ave, Brooklyn, NY 11201-5502 | 2011-03-10 |
| 1720386063 | Suny Health Science Center At Brooklyn | Rehabilitation Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-10 |
| 1689972150 | Suny Health Science Center At Brooklyn | Obstetrics & Gynecology | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY HEALTH SCIENCE CENTER AT BROOKLYN | 450 Clarkson Ave, Brooklyn, NY 11203-2056 |
| Street Address |
97 AMITY ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690196 | Joseph Thomas Chambers | Obstetrics & Gynecology | 97 Amity St, 3rd Floor, Brooklyn, NY 11201-6004 | 2005-06-22 |
| 1447502703 | Alan Lyle Hunt | Social Worker | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-10-11 |
| 1437400504 | Christina Olmo | Counselor | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-09-28 |
| 1154692721 | Regine Marie Lim | Genetic Counselor, MS | 97 Amity St, 3rd Floor, Room H366, Brooklyn, NY 11201-6004 | 2012-01-13 |
| 1215235783 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Orthopaedic Surgery | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1689972150 | Suny Health Science Center At Brooklyn | Obstetrics & Gynecology | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1306144878 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Psychologist | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1619275625 | Suny Health Science Center At Brooklyn | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-01 |
| 1013237551 | Meseret Meshesha Tena | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2010-06-07 |
| 1336394436 | Anita Holman | Obstetrics & Gynecology | 97 Amity St, Department of Ob/gyn, Brooklyn, NY 11201-6004 | 2008-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782972 | Home Physician Assistant Services PC | Family Medicine | 2119 E 15th St Ste B1, Brooklyn, NY 11229-4376 | 2020-08-26 |
| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.