| Brookdale University Hospital & Medical Center | |
|
1 Brookdale Plz 12 Chc Brooklyn NY 11212-3139 | |
| (718) 240-5145 | |
| Not Available |
| Full Name | Brookdale University Hospital & Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Brookdale Plz, Brooklyn, New York |
| Authorized Official Name and Position | Mounir Doss (CFO) |
| Authorized Official Contact | 7182066291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookdale University Hospital & Medical Center 80 Marcus Dr Provider Enrollment Melville NY 11747-4230 Ph: (631) 391-7700 | Brookdale University Hospital & Medical Center 1 Brookdale Plz 12 Chc Brooklyn NY 11212-3139 Ph: (718) 240-5145 |
| NPI Number | 1972545036 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972545036 | NPI | - | NPPES |
| 00610013 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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