MEDICARE: MAIMONIDESMEDICALCENTER

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	F300541	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1801809041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAIMONIDESMEDICALCENTER

Provider Business Mailing Address
First Line	:	4801 1OTH AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2801
Country	:	US
Telephone Number	:	718-283-6000
Fax Number	:	718-283-8498

Provider Business Practice Location Address
First Line	:	4801- 10TH AVENUE
Second Line	:	DEPARTMENT OF MEDICINE
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2801
Country	:	US
Telephone Number	:	718-283-6000
Fax Number	:	718-283-8498

Authorized Official
Title or Position	:	WOUND CONSULTANT
Name	:	MS. VERONICA MARIE NARRO
Credential	:	NURSE PRACTITIONER
Telephone Number	:	718-283-6000

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	08/22/2020

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Directions to “MAIMONIDESMEDICALCENTER ” Practice Location

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