Adam Brook MD PHD PLLC

Key facts

NPI

1013145382

Entity type

Organization (NPI type 2)

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

License

215672-1 (NY)

Legal business name

ADAM BROOK MD PHD PLLC

Practice address

655 Yonkers Ave
Yonkers, NY 10704-2695

Phone

(646) 774-0971

NPI assigned

Jun 25, 2009

Organization subpart

No

Authorized official

Name

Adam Brook, M.D.

Title

Member

Phone

(415) 516-0787

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2014.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1013145382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK W APT 12H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100250019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042695",
            "telephone_number": "646-774-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM BROOK MD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "415-516-0787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "215672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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