Provider Demographics
NPI:1235821281
Name:BROOKLYN FAMILY HEALTH MEDICINE PC
Entity Type:Organization
Organization Name:BROOKLYN FAMILY HEALTH MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEN-HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-509-8499
Mailing Address - Street 1:821 53RD ST UNIT 2C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2917
Mailing Address - Country:US
Mailing Address - Phone:718-304-1050
Mailing Address - Fax:718-569-5729
Practice Address - Street 1:821 53RD ST UNIT 2C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2917
Practice Address - Country:US
Practice Address - Phone:718-304-1050
Practice Address - Fax:718-569-5729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty