MEDICARE: KINGS COUNTY HOSPITAL 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
1	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1851506026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINGS COUNTY HOSPITAL CENTER

Provider Business Mailing Address
First Line	:	172 ROQUETTE AVE
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003
Country	:	US
Telephone Number	:	516-233-1865
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 WINTHROP STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-1704
Country	:	US
Telephone Number	:	718-245-2258
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER LEVEL2
Name	:	MS. TRICIA SINCLAIR
Credential	:
Telephone Number	:	718-245-2257

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	08/22/2020

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