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Organization
MAIMONIDES MEDICAL CENTER
Active
Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAREN KOBUS MJ, MPA, MSW (VICE PRESIDENT,PROFESSIONAL AFFAIRS)
(718) 283-8958
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2844
(718) 283-8958
(718) 635-7105
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2844
(718) 283-8958
(718) 635-7105
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7001020H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057
BLUE CROSS
NY
01
—
000502001
AMERICHOICE
—
01
—
0007008
AETNAUSHEALTHCARE
—
05
—
02998736
—
NY
01
—
71002
ELDERPLAN
—
01
—
HO4400
OXFORD
—
01
—
IC0023
PHYSICIANS HEALTH
—
Enumeration date
04/03/2006
Last updated
03/26/2012
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