Healthcare Provider Details

I. General information

NPI: 1235282971
Provider Name (Legal Business Name): HEALTH AND HOSPITALS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 HAWTHORNE ST
BROOKLYN NY
11225-5910
US

IV. Provider business mailing address

348 HAWTHORNE ST PH
BROOKLYN NY
11225-5910
US

V. Phone/Fax

Practice location:
  • Phone: 718-604-2412
  • Fax: 212-316-1479
Mailing address:
  • Phone: 718-604-2412
  • Fax: 212-316-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number153323
License Number StateNY

VIII. Authorized Official

Name: DR. GERARD SAM AUDIGE
Title or Position: ATTENDING PHYSICIAN
Credential: M.D.
Phone: 212-932-6513