| NPI | 1013176700 |
|---|---|
| Other Name | KINGSBROOK JEWISH MEDICAL CENTER PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | KIRAN BATHEJA VP Revenue Cycle Management 718-604-5578 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 7001033H) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2012-02-10 |