AVENUE U PEDIATRICS, PC
Medical Practice at 5 St, Brooklyn, NY

License number
New York 223690
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. ALBERT BASSOUL MD
Title: OWNER
Phone: (718) 376-4636
Address
Address
2149 E 5Th St, Brooklyn, NY 11223
National Provider ID: 1518417120
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AVENUE U PEDIATRICS, PC

2149E 5 St, Brooklyn, NY 11223

Registration:
Aug 15, 2003
State ID:
2943445
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Albert Bassoul, 2149 E 5 St, Brooklyn, NY 11223 (Physical)

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