| Woodhull Medical Center Assertive Community Treatment | |
|
760 Broadway 3ab224 Brooklyn NY 11206-5317 | |
| (718) 245-2984 | |
| (718) 245-7060 |
| Full Name | Woodhull Medical Center Assertive Community Treatment |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 760 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Maxine J Katz (ASSISTANT VICE PRESIDENT) |
| Authorized Official Contact | 6464583402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodhull Medical Center Assertive Community Treatment 160 Water St Room 736 New York NY 10038-4922 Ph: (646) 458-3402 | Woodhull Medical Center Assertive Community Treatment 760 Broadway 3ab224 Brooklyn NY 11206-5317 Ph: (718) 245-2984 |
| NPI Number | 1245458926 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245458926 | NPI | - | NPPES |
| 02994883 | Medicaid | NY | |
| 02667747 | Medicaid | NY | |
| 02722154 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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