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General NPI Number Information
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NPI Number | 1124166657
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Entity Type | Organization
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Legal Business Name | THE BROOKDALE HOSPITAL MEDICAL CENTER
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLZ FL 1
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City | BROOKLYN
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State | NY
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Zip | 11212-3139
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Country | US
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Telephone | 718-240-6281
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Fax | 718-240-6682
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Provider Business Mailing Address
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Address Line | ONE BROOKDALE PLAZA ATTN: CHUCK SALVO
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City | BROOKLYN
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State | NY
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Zip | 11212-3198
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Country | US
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Telephone | 718-240-5811
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Fax | 718-240-5805
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Authorized Official
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Title or Position | CREDENTIALING SUPERVISOR
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Name | SALLY SLONE
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Credential |
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Telephone | 718-240-7143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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