Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
Other names
Brookdale Radiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SALVO (SENIOR VICE PRESIDENT)
(718) 240-6374
Entity
Organization
Contact information
Practice address
1 BROOKDALE PLZ, BLDG CHC 4TH FLOOR, BROOKLYN, NY 11212-3139
(718) 240-5271
(718) 485-5858
Mailing address
1 BROOKDALE PLAZA, ATTN: CHUCK SALVO, BROOKLYN, NY 11212-3198
(718) 240-5811
(718) 240-5805
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610013
—
NY
Enumeration date
07/27/2006
Last updated
11/13/2024
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