MEDICARE: BROOKDALE FAMILY CARE CENTER, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1223G0001X	General Practice Dentistry
2	261Q00000X	Clinic/Center
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1336263813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKDALE FAMILY CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	1 BROOKDALE PLZ
Second Line	:	EXECUTIVE SUITE - 5 KATZ
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3198
Country	:	US
Telephone Number	:	718-240-8516
Fax Number	:	718-240-5808

Provider Business Practice Location Address
First Line	:	2554 LINDEN BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-4904
Country	:	US
Telephone Number	:	718-240-8600
Fax Number	:

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	CHARLES SALVO
Credential	:
Telephone Number	:	718-240-8516

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	10/17/2025

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