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Organization

LONG ISLAND COLLEGE HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL BRUNO (SR VICE PRESIDENT)
(212) 523-7140
Entity
Organization

Contact information

Practice address
339 HICKS STREET, BROOKLYN, NY 11201
(718) 780-1000
(212) 256-3595
Mailing address
160 WATER STREET, ROOM 2329, NEW YORK, NY 10038
(212) 256-3027
(212) 256-3595

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
7001017H
NY
273Y00000X
Rehabilitation Hospital Unit
Primary
7001017H
NY
282N00000X
General Acute Care Hospital
7001017H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000060
BLUE CROSS
NY
05
00243678
NY
Enumeration date
12/15/2006
Last updated
09/11/2025
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