NPIMap

Organization Active NPI

Suny Health Science Center at Brooklyn

Doing business as Suny DMC @Lich- Medicine

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1053617944
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNY HEALTH SCIENCE CENTER AT BROOKLYN
Doing business as
Suny DMC @Lich- Medicine
Practice address
339 Hicks St
Brooklyn, NY 11201-5509
Phone
(718) 780-1000
NPI assigned
Feb 10, 2011
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marilyn Vientos - Sotiriadis
Title
Coo
Phone
(718) 270-2025

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Cardiovascular Disease Physician 207RC0000X
Infectious Disease Physician 207RI0200X
Plastic and Reconstructive Surgery Physician 2086S0122X

Addresses

Primary practice location

339 Hicks St
Brooklyn, NY 11201-5509

Mailing address

339 Hicks Street
Brooklyn, NY 11201
Phone (718) 780-1000

Other names 1

  • SUNY DMC @LICH- MEDICINE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1053617944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HICKS STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-780-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY HEALTH SCIENCE CENTER AT BROOKLYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "VIENTOS - SOTIRIADIS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-270-2025"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNY DMC @LICH- MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.