Organization
WOODHULL MEDICAL & MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN PETRANKER MD (CHAIRMAN)
(718) 963-8496
Entity
Organization
Contact information
Practice address
760 BROADWAY, ROOM #3A-30, BROOKLYN, NY 11206-5317
(718) 963-8496
(718) 963-8501
Mailing address
53 CHURCH RD, AIRMONT, NY 10952-4103
(845) 369-7118
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
170664
NY
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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