Organization
MAIMONIDES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTOS RIVERA JR. DSW (ASSISTANT VICE PRESIDENT,PSYCHIATRY)
(718) 283-7325
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8017
Mailing address
864 49TH ST APT D14, BROOKLYN, NY 11220-2408
(646) 785-1880
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
072400
NY
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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