Organization
KINGSBROOK JEWISH MEDICAL CENTER
Active
Parent organization
KINGSBROOK JEWISH MEDICAL CENTER
Other names
Kingsbrook Jewish Medical Center Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINGSBROOK JEWISH MEDICAL CENTER
Authorized official
KIRAN BATHEJA (VP-REVENUE CYCLE MANAGEMENT)
(718) 604-5578
Entity
Organization
Contact information
Practice address
585 SCHENECTADY AVE, MANAGED CARE DEPT, BROOKLYN, NY 11203-1809
(718) 604-5469
(718) 604-5527
Mailing address
585 SCHENECTADY AVE, MANAGED CARE DEPT, BROOKLYN, NY 11203-1809
(718) 604-5469
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7001033H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01957033
—
NY
Enumeration date
06/06/2008
Last updated
02/10/2012
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