# KINGSBORO PSYCHIATRIC CENTER

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

## Provider details

- **NPI number:** 1548324452
- **Authorized official:** ROBERT PUCCIO (DIRECTOR, FINANCE)
- **Authorized official phone:** (518) 473-0795

## Contact information

- **Practice address:** 681 CLARKSON AVE, BROOKLYN, NY 11203-2125
- **Practice address phone:** (718) 221-7700
- **Mailing address:** 44 HOLLAND AVE, ALBANY, NY 12229-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NY | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 08/01/2008
