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Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
Parent organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Other names
KINGSBROOK JEWISH MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BROOKDALE HOSPITAL MEDICAL CENTER
Authorized official
MR. PAUL ROSENFELD (EXECUTIVE DIRECTOR)
(718) 604-5000
Entity
Organization
Contact information
Practice address
585 SCHENECTADY AVE., BROOKLYN, NY 11203
(718) 604-5363
(718) 363-6718
Mailing address
585 SCHENECTADY AVE., KINGSBROOK JEWISH MEDICAL CENTER, BROOKLYN, NY 11203
(718) 604-5000
(718) 363-6718
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
002008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243669
—
NY
01
—
3345863
NCPDP
NY
01
—
3345863
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/25/2006
Last updated
11/13/2024
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