| Brookdale Family Care Center | |
|
465 New Lots Ave Brooklyn NY 11207-6414 | |
| (718) 240-8900 | |
| (718) 240-8926 |
| Full Name | Brookdale Family Care Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 465 New Lots Ave, Brooklyn, New York |
| Authorized Official Name and Position | Charles Salvo (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7182405811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookdale Family Care Center 1 Brookdale Plz Ste 666 Brooklyn NY 11212-3198 Ph: (718) 240-5811 | Brookdale Family Care Center 465 New Lots Ave Brooklyn NY 11207-6414 Ph: (718) 240-8900 |
| NPI Number | 1306984091 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 05/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306984091 | NPI | - | NPPES |
| 01681227 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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