| Brooklyn Select Physician | |
|
170-12 Highland Ave, Suite102 Jamaica NY 11432 | |
| (718) 233-4966 | |
| (718) 622-2323 |
| Full Name | Brooklyn Select Physician |
|---|---|
| Speciality | Clinic/center |
| Location | 170-12 Highland Ave, Suite102, Jamaica, New York |
| Authorized Official Name and Position | Samia Tayab (CEO) |
| Authorized Official Contact | 9174056727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Select Physician 1078 Fulton Street, 1st Floor Brooklyn NY 11238 Ph: (718) 622-2300 | Brooklyn Select Physician 170-12 Highland Ave, Suite102 Jamaica NY 11432 Ph: (718) 233-4966 |
| NPI Number | 1477888980 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 02/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477888980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 217560 (New York) | Secondary |
| 261Q00000X | Clinic/center | 212345 (New York) | Primary |
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