Organization
LONG ISLAND COLLEGE HOSPITAL
Active
Parent organization
LONG ISLAND COLLEGE HOSPITAL
Other names
Rehabilitation Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG ISLAND COLLEGE HOSPITAL
Authorized official
MR. MICHAEL BRUNO (SENIOR VICE PRESIDENT)
(212) 256-3027
Entity
Organization
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(212) 256-3027
(212) 256-3595
Mailing address
160 WATER ST, SUITE 2329, NEW YORK, NY 10038-4922
(212) 256-3027
(212) 256-3595
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
700101H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060
BLUE CROSS
NY
05
—
00243678
—
NY
Enumeration date
12/05/2008
Last updated
12/05/2008
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