| Downstate Medical Center | |
|
445 Lenox Rd Brooklyn NY 11203-2017 | |
| (718) 826-4901 | |
| (718) 826-6093 |
| Full Name | Downstate Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 445 Lenox Rd, Brooklyn, New York |
| Authorized Official Name and Position | Sean P Smith (SR ASSOCIATE VP/DEPUTY CFO) |
| Authorized Official Contact | 7188264943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downstate Medical Center 445 Lenox Rd P.o.box 3 Brooklyn NY 11203-2017 Ph: (718) 826-4901 | Downstate Medical Center 445 Lenox Rd Brooklyn NY 11203-2017 Ph: (718) 826-4901 |
| NPI Number | 1902874597 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902874597 | NPI | - | NPPES |
| 02998709 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7001037H (New York) | Primary |
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