MEDICARE: HEALTH AND HOSPITALS CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	153323	NY

General Provider Information

NPI Number	:	1235282971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND HOSPITALS CORP

Provider Business Mailing Address
First Line	:	348 HAWTHORNE ST
Second Line	:	PH
City	:	BROOKLYN
State	:	NY
Zip	:	11225-5910
Country	:	US
Telephone Number	:	718-604-2412
Fax Number	:	212-316-1479

Provider Business Practice Location Address
First Line	:	348 HAWTHORNE ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-5910
Country	:	US
Telephone Number	:	718-604-2412
Fax Number	:	212-316-1479

Authorized Official
Title or Position	:	ATTENDING PHYSICIAN
Name	:	DR. GERARD SAM AUDIGE
Credential	:	M.D.
Telephone Number	:	212-932-6513

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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