Provider Demographics
NPI:1184657215
Name:THE BROOKLYN HOSPITAL CENTER
Entity Type:Organization
Organization Name:THE BROOKLYN HOSPITAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-260-2700
Mailing Address - Street 1:19 ROCKWELL PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1113
Mailing Address - Country:US
Mailing Address - Phone:718-260-2700
Mailing Address - Fax:718-260-2862
Practice Address - Street 1:19 ROCKWELL PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1113
Practice Address - Country:US
Practice Address - Phone:718-260-2700
Practice Address - Fax:718-260-2862
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BROOKLYN HOSPITAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-09
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001603251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00243614Medicaid
NY00243614Medicaid