SUNY HEALTH SCIENCE CENTER AT BROOKLYN


Address: 339 Hicks St, Brooklyn, NY 11201-5509
Phone: 7187801000

SUNY HEALTH SCIENCE CENTER AT BROOKLYN (NPI# 1922306190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922306190
Entity Type Organization
Organization Name SUNY HEALTH SCIENCE CENTER AT BROOKLYN
Other Organization Name SUNY DMC @LICH-RADIOLOGY
Practice Address 339 Hicks St
Brooklyn
NY 11201-5509
Practice Telephone 7187801000
Mailing Telephone 7187801000
Enumeration Date 2011-03-11
Last Update Date 2013-04-04
Authorized Official Name MARILYN VIENTOS - SOTIRIADIS (COO)
Authorized Official Telephone 7182702025
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SUNY DMC @LICH-RADIOLOGY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104124379 Suny Health Science Center At Brooklyn Urology 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
1770881245 Suny Health Science Center At Brooklyn Family Medicine 97 Amity St, Brooklyn, NY 11201-6004 2011-03-08

Other Data Sources

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

Office Location

Street Address 339 HICKS ST
City BROOKLYN
State NY
Zip Code 11201-5509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912901679 Ciril J Godec Urology 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 2005-06-10
1376985069 Parul Patel Pharmacist 339 Hicks St, Brooklyn, NY 11201-5509 2013-07-23
1124368402 Sonia A D'amelio Raymond Pharmacist 339 Hicks St, Brooklyn, NY 11201-5509 2013-02-22
1396080503 Marcia Andrea Reid Nurse Practitioner 339 Hicks St, Brooklyn, NY 11201-5509 2012-11-29
1184983215 Jonathan Shih-chen Kung Internal Medicine 339 Hicks St, Brooklyn, NY 11201-5509 2012-05-09
1861759169 Hyoung Kyu Oh Radiology 339 Hicks St, Brooklyn, NY 11201-5509 2012-04-12
1295009926 Rose Suzette Bristol Physician Assistant 339 Hicks St, 3rd Floor Fuller, Brooklyn, NY 11201-5509 2012-02-27
1386917383 Pearline Mentis Thompson Nurse Practitioner 339 Hicks St, Brooklyn, NY 11201-5509 2012-02-22
1720374986 Ammar Mahmoud Obstetrics & Gynecology 339 Hicks St, Brooklyn, NY 11201-5509 2011-06-24
1205129459 Simran Kaur Mann Internal Medicine 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 2011-05-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881249035 Medical Diagnostic Inc. Radiology 306 Bay 14th St, Brooklyn, NY 11214-5810 2019-08-05
1023468717 Sean Shorone Tamir Radiology 4802 Tenth Ave., Maimonides Medical Center, Department of Radiology, Brooklyn, NY 11219 2016-06-14
1841685435 Junaid Aslam Radiology 8675 Bay Pkwy, Brooklyn, NY 11214-4186 2015-04-01
1639581358 Avalon Radiology, P.C. Radiology 2085 West 11th Street, Brooklyn, NY 11223 2014-05-29
1972842789 Brooklyn Medical Imaging PC Radiology 1608 59th St, Brooklyn, NY 11204-2129 2013-02-14
1346526829 David A Zelman Radiology 1739 East 33rd St, Brooklyn, NY 11234-4423 2011-10-27
1366723876 Bay Ridge Medical Imaging, P.c Radiology 7119 13th Ave, Brooklyn, NY 11228-1605 2011-08-30
1952689812 Marina Perlov Radiology PC Radiology 115 Brightwater Ct Apt 6b, Brooklyn, NY 11235-7625 2011-07-26
1982992657 Qwie T Chew Radiology 870 Ocean Ave, Brooklyn, NY 11226-6716 2011-07-15
1720390099 Irina Rapoport Radiology 100 Oceana Dr W Apt 3c, Brooklyn, NY 11235-6651 2010-07-02
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Competitor

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City BROOKLYN
Zip Code 11201

Improve Information

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Dataset Information

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.

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