Provider Demographics
NPI:1740596204
Name:BROOKLYN CONSULTANTS LLC
Entity Type:Organization
Organization Name:BROOKLYN CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-413-8635
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:GRACIE STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0016
Mailing Address - Country:US
Mailing Address - Phone:718-768-8880
Mailing Address - Fax:718-768-8180
Practice Address - Street 1:503 5TH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4811
Practice Address - Country:US
Practice Address - Phone:718-768-8880
Practice Address - Fax:718-768-8180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2573601207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty