Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S. RIVERA DSW (ASSOCIATE DIRECTOR)
(718) 283-7325
Entity
Organization
Contact information
Practice address
4802 10TH AVENUE, BROOKLYN, NY 11219
(718) 283-8100
Mailing address
4802 10TH AVENUE, BROOKLYN, NY 11219
(718) 283-8100
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
R4568033
NY
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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