Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
Parent organization
BROOKDALE HOSPITAL MEDICAL CENTER
Other names
Acute Renal Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE HOSPITAL MEDICAL CENTER
Authorized official
CHARLES SALVO (SENIOR VICE PRESIDENT)
(718) 240-6374
Entity
Organization
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1851
(718) 604-5532
(718) 604-5527
Mailing address
10101 AVENUE D, KINGSBROOK JEWISH MEDICAL CENTER, BROOKLYN, NY 11236-1902
(718) 240-8534
(718) 240-6492
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
7001033H
NY
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2998763
—
NY
Enumeration date
04/28/2008
Last updated
11/15/2024
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