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NPI Code Detail

MEDICARE: THE BROOKDALE HOSPITAL MEDICAL CENTER

MEDICARE: THE BROOKDALE HOSPITAL MEDICAL CENTER
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1477546026
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BROOKDALE HOSPITAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-5741
Fax Number :
Provider Business Practice Location Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 315-295-2100
Fax Number :
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : CHARLES SALVO
Credential :
Telephone Number : 718-240-8516
Provider Enumeration Date : 08/30/2005
Last Update Date : 11/08/2024

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Directions to “THE BROOKDALE HOSPITAL MEDICAL CENTER ” Practice Location

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