Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
Organization
THE BROOKDALE HOSPITAL MEDICAL CENTER
Active
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, 12 CHC, BROOKLYN, NY 11212-3139
(718) 240-5145
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7700
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610013
—
NY
Enumeration date
06/12/2006
Last updated
11/13/2024
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