Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
Other names
IMC Alternative Housing Program
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SALVO (SENIOR VICE PRESIDENT)
(718) 240-6374
Entity
Organization
Contact information
Practice address
1366 E NEW YORK AVE, BROOKLYN, NY 11212-4535
(718) 613-6701
(718) 613-5725
Mailing address
10101 AVENUE D, IMC ALTERNATIVE HOUSING PROGRAM, BROOKLYN, NY 11236-1902
(718) 240-8534
(718) 240-6492
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02361526
—
NY
Enumeration date
02/21/2008
Last updated
11/15/2024
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