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General NPI Number Information
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NPI Number | 1700551199
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITAL OF BROOKLYN SUNY DOWNSTATE HEALTH SCIENCES UNIVERS
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 445 LENOX RD
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City | BROOKLYN
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State | NY
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Zip | 11203-2017
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Country | US
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Telephone | 718-826-4901
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Fax |
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Provider Business Mailing Address
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Address Line | 711 PARKSIDE AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-1507
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Country | US
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Telephone | 718-826-4901
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Fax |
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Authorized Official
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Title or Position | SENIOR ASSOCIATE VP/ DEPUTY CFO
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Name | MR. SEAN P SMITH
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Credential |
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Telephone | 718-826-4943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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