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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