| NPI | 1285683102 |
|---|---|
| Doing Business As | CONEY ISLAND MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S JEROME Executive Vice President 718-616-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |