Organization
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Active
Other names
Broadway Community Health Center of Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
LUCHY JACKSON (DIRECTOR MANAGED CARE)
(212) 238-7815
Entity
Organization
Contact information
Practice address
BROADWAY COMMUNITY CENTER OF EXCELLENCE, 815 BROADWAY, BROOKLYN, NY 11206-5318
(646) 614-8265
(646) 614-8386
Mailing address
815 BROADWAY, BROOKLYN, NY 11206-5318
(646) 614-8200
(646) 614-8386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
04/02/2025
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