OrganizationMmc Ob-Gyn Faculty Practice PlanSpecialistOther Service ProvidersPractice Address6208 4th Ave, Brooklyn, NY 11220-4616(718) 283-3000(718) 283-8864PECOS EnrollmentBased on the most recent information from CMS, provider Mmc Ob-Gyn Faculty Practice Plan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1053558221Provider TypeOrganizationFull NameMmc Ob-Gyn Faculty Practice PlanSubpartNoEnumeration Date1/9/2009Last Updated2/20/2013Contact InformationPractice LocationPractice Address6208 4th Ave, Brooklyn, NY 11220-4616Phone(718) 283-3000Fax(718) 635-6866Mailing LocationMailing Address967 48th St, Brooklyn, NY 11219-2919Phone(718) 283-8864Fax(718) 283-6818Authorized OfficialNameFalcone, Victoria (Business Manager)Phone(718) 283-8864Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer