| Brookdale Hospital Medical Center | |
|
1 Brookdale Plz Brooklyn NY 11212-3139 | |
| (718) 240-6281 | |
| (718) 240-6682 |
| Full Name | Brookdale Hospital Medical Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Brookdale Plz, 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 Hospital Medical Center One Brookdale Plaza Attn: Chuck Salvo Brooklyn NY 11212-3198 Ph: (718) 240-5811 | Brookdale Hospital Medical Center 1 Brookdale Plz Brooklyn NY 11212-3139 Ph: (718) 240-6281 |
| NPI Number | 1124166657 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 05/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124166657 | NPI | - | NPPES |
| 00243572 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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