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General NPI Number Information
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NPI Number | 1841465218
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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 | 04/28/2008
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 585 SCHENECTADY AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-1851
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Country | US
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Telephone | 718-604-5532
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Fax | 718-604-5527
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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 | SENIOR VICE PRESIDENT
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Name | CHARLES SALVO
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Credential |
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Telephone | 718-240-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 7001033H
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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