NPI Code Details Logo

NPI 1588868889

NPI 1588868889 : THE BROOKDALE HOSPITAL MEDICAL CENTER : BROOKLYN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588868889
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE BROOKDALE HOSPITAL MEDICAL CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/12/2007
-----------------------------------------------------
    Last Update Date     |    11/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1545 ATLANTIC AVE 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11213-1122
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-613-4003
-----------------------------------------------------
    Fax                  |    718-613-7110
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10101 AVENUE D 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11236-1902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-240-7931
-----------------------------------------------------
    Fax                  |    718-240-6492
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF FINANCIAL OFFICER
-----------------------------------------------------
    Name                 |     MICHELLE  FIGUEROA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    718-240-7931
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    273R00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric Hospital Unit
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    273R00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric Hospital Unit
-----------------------------------------------------
    License Number       |    7001046H
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.