# KINGSBROOK JEWISH MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104127224
- **Authorized official:** MS. RADMILA CHAIMOV (OTA/L)
- **Authorized official phone:** (347) 492-5292

## Contact information

- **Practice address:** 1820 E 19TH ST APT 1FL, BROOKLYN, NY 11229-3559
- **Practice address phone:** (305) 934-5866
- **Mailing address:** 1820 E 19TH ST APT 1, BROOKLYN, NY 11229-3559
- **Mailing address phone:** (305) 934-5866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 007734-1 | NY | Yes |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/04/2010