Blue Green Horizons Office Based Surgery Pllc

NPI 1073835641 - Clinic/Center - 261QM1300X

NPI Details
NPI 1073835641
Enumeration Date 02/23/2010
Last Updated 02/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SHELBY K. SHELBY
Position OWNER
Phone (718) 498-7888
Fax (718) 604-7890
Practice Location
200 BROOKLYN AVE
BROOKLYN NY, 11213-1908, US
Phone (718) 498-7888
Fax (718) 604-7890
Business Location
200 BROOKLYN AVE
BROOKLYN NY, 11213-1908, US
Phone (718) 498-7888
Fax (718) 604-7890
Toxanomy
Taxonomy Code 261QM1300X
License State New York
License Number 176352
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According to our database, Blue Green Horizons Office Based Surgery Pllc NPI is 1073835641, taxonomy code is 261QM1300X and license number is 176352, license state is located at New York. Blue Green Horizons Office Based Surgery Pllc physically located at 200 Brooklyn Ave, Brooklyn NY, 11213-1908. NPI Number 1033115704 has the healthcare provider type.

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1073835641 NPI number is provided on an as is basis without warranty of any kind. 1073835641 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Green Horizons Office Based Surgery Pllc are for informational purposes only.