ProviderBusinessMailingAddressFaxNumber = '7184033515'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1013080126
CENTRAL BROOKLYN MEDICAL GROUP
345 SCHERMERHORN ST
BROOKLYN
NY
112171025
1265509988
AHMAD
IMTIAZ
637 BANNER AVE
BROOKLYN
NY
112355232
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