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NPI Code Detail

MEDICARE: CATHOLIC MEDICAL CENTER OF BROOKLYN AND QUEENS

MEDICARE: CATHOLIC MEDICAL CENTER OF BROOKLYN AND QUEENS
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
1282N00000XGeneral Acute Care Hospital7001025HNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548319254
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC MEDICAL CENTER OF BROOKLYN AND QUEENS
Provider Business Mailing Address
First Line : 450 W 33RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10001-2603
Country : US
Telephone Number : 212-356-4419
Fax Number : 212-356-4434
Provider Business Practice Location Address
First Line : 170 BUFFALO AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-2421
Country : US
Telephone Number : 718-221-3000
Fax Number : 212-356-4434
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : MS. DOLLYANN L YORKE
Credential :
Telephone Number : 212-356-4419
Provider Enumeration Date : 01/10/2007
Last Update Date : 08/22/2020

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