South Elliot South Portland Medical Comprehensive Medical Center
South Elliot South Portland Medical Comprehensive Medical Center provides Family Medicine Physician services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
739 Fulton StBrooklyn, NY 11217-1560 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 858-5088
Fax: (718) 858-5278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 147143 (NY) |
|---|
Record details
| NPI number | 1184844870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Camille Philippe — Medical Director · (718) 858-5088 |
| Other names | Camille Philippe |
| NPI enumerated | April 26, 2007 |
| Last updated in NPPES | May 16, 2008 |
| Mailing address | Gpo 27007, New York, NY 10087-7007 |
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