# BROOKDALE HOSPITAL

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

## Provider details

- **NPI number:** 1104127984
- **Authorized official:** TATYANA SEMENOVA MD (PHISICIAN)
- **Authorized official phone:** (347) 277-9084

## Contact information

- **Practice address:** 2258 84TH ST, BROOKLYN, NY 11214-3328
- **Practice address phone:** (347) 277-9084
- **Mailing address:** 2258 84TH ST, BROOKLYN, NY 11214-3328
- **Mailing address phone:** (347) 277-9084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 2592091 | NY | Yes |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 11/09/2010