MEDICARE: NEW YORK COMMUNITY HOSPITAL, BROOKLYN

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	282NC0060X	Critical Access Hospital	270969	NY

General Provider Information

NPI Number	:	1548601578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YORK COMMUNITY HOSPITAL, BROOKLYN

Provider Business Mailing Address
First Line	:	8922 133RD ST
Second Line	:	2ND FLOOR
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2813
Country	:	US
Telephone Number	:	718-526-3124
Fax Number	:

Provider Business Practice Location Address
First Line	:	8922 133RD ST
Second Line	:	2ND FLOOR
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2813
Country	:	US
Telephone Number	:	718-526-3124
Fax Number	:

Authorized Official
Title or Position	:	ER PHYSICIAN
Name	:	DR. UTPAL CHOWDHURY
Credential	:	MD
Telephone Number	:	718-692-5300

Provider Enumeration Date	:	07/06/2013
Last Update Date	:	07/06/2013

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