| Maimonides Medical Center | |
|
920 48th St Brooklyn NY 11219-2918 | |
| (718) 283-8958 | |
| (718) 635-7105 |
| Full Name | Maimonides Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 920 48th St, Brooklyn, New York |
| Authorized Official Name and Position | Karen Kobus (AVP, PROFESSIONAL AFFAIRS) |
| Authorized Official Contact | 7182838958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maimonides Medical Center 4802 10th Ave Brooklyn NY 11219-2916 Ph: (718) 283-8958 | Maimonides Medical Center 920 48th St Brooklyn NY 11219-2918 Ph: (718) 283-8958 |
| NPI Number | 1083623144 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 05/28/2009 |
| Medicare PECOS PAC ID | 9234111998 |
|---|---|
| Medicare Enrollment ID | O20120823000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083623144 | NPI | - | NPPES |
| 00243641 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7001020H (New York) | Primary |
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