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General NPI Number Information
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NPI Number | 1316960289
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITAL OF BROOKLYN
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 470 CLARKSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2012
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Country | US
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Telephone | 718-270-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 450 CLARKSON AVE BOX 59
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City | BROOKLYN
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State | NY
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Zip | 11203-2012
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Country | US
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Telephone | 718-270-1000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL MILLER
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Credential |
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Telephone | 718-270-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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