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General NPI Number Information
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NPI Number | 1902874597
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITAL OF BROOKLYN /SUNY DOWNSTATE HEALTH SCIENCES UNIVE
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 06/09/2022
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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 | 718-826-6093
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Provider Business Mailing Address
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Address Line | 445 LENOX RD P.O.BOX 3
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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 | 718-826-6093
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Authorized Official
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Title or Position | SR ASSOCIATE VP/DEPUTY CFO
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Name | SEAN P SMITH
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Credential | CPA
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 7001037H
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License Number State | NY
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