Organization
BROOKDALE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELENA AZAROVA PAC (PA SURGERY)
(718) 240-5000
Entity
Organization
Contact information
Practice address
23 BEACHVIEW AVE, STATEN ISLAND, NY 10306-5106
(718) 240-5495
Mailing address
23 BEACHVIEW AVENUE, STATEN ISLAND, NY 10306
(718) 240-5000
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
007888
NY
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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