Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTO RIVERA DSW (AVP, DEPT. OF PSYCHIATRY)
(718) 283-7325
Entity
Organization
Contact information
Practice address
920 48 STREET, BROOKLYN, NY 11219-2918
(718) 283-7975
Mailing address
920 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-7975
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
R008813-1
NY
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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