| Lich Faculty Practice | |
|
339 Hicks St Brooklyn NY 11201-5509 | |
| (718) 780-1000 | |
| Not Available |
| Full Name | Lich Faculty Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 339 Hicks St, Brooklyn, New York |
| Authorized Official Name and Position | Deborah Hackett (ASSISTANT VICE PRESIDENT) |
| Authorized Official Contact | 2122563424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lich Faculty Practice 160 Water St 20th Floor New York NY 10038-4922 Ph: (212) 256-3424 | Lich Faculty Practice 339 Hicks St Brooklyn NY 11201-5509 Ph: (718) 780-1000 |
| NPI Number | 1154504132 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154504132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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