| Brookdale Hospital Medical Center | |
|
1545 Atlantic Ave Brooklyn NY 11213-1122 | |
| (718) 613-4003 | |
| (718) 613-7110 |
| Full Name | Brookdale Hospital Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1545 Atlantic Ave, Brooklyn, New York |
| Authorized Official Name and Position | Robert Allen Palermo (CFO) |
| Authorized Official Contact | 7182408515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookdale Hospital Medical Center 10101 Avenue D Brooklyn NY 11236-1902 Ph: (718) 240-8534 | Brookdale Hospital Medical Center 1545 Atlantic Ave Brooklyn NY 11213-1122 Ph: (718) 613-4003 |
| NPI Number | 1588868889 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588868889 | NPI | - | NPPES |
| 3005649 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7001046H (New York) | Secondary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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