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Organization

MAIMONIDES MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KAREN KOBUS MSW, MPA (AVP, PROFESSIONAL AFFAIRS)
(718) 283-8958
Entity
Organization

Contact information

Practice address
920 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8958
(718) 635-7105
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8958
(718) 635-7105

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
7001020H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00243641
NY
Enumeration date
08/07/2006
Last updated
05/28/2009
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