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General NPI Number Information
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NPI Number | 1316112600
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Entity Type | Organization
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Legal Business Name | BROOKDALE HOSPITAL MEDICAL CENTER
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | ONE BROOKDALE PLAZA DEPARTMENT OF PSYCHIATRY
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-240-6059
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Fax |
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Provider Business Mailing Address
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Address Line | 10101 AVENUE D
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City | BROOKLYN
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State | NY
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Zip | 11236-1902
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Country | US
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Telephone | 718-240-8534
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Fax | 718-240-6492
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Authorized Official
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Title or Position | CFO
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Name | MICHELLE FIGUEROA
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Credential |
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Telephone | 718-240-5741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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