Provider Demographics
NPI:1235282971
Name:HEALTH AND HOSPITALS CORP
Entity Type:Organization
Organization Name:HEALTH AND HOSPITALS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:SAM
Authorized Official - Last Name:AUDIGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-932-6513
Mailing Address - Street 1:348 HAWTHORNE ST
Mailing Address - Street 2:PH
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5910
Mailing Address - Country:US
Mailing Address - Phone:718-604-2412
Mailing Address - Fax:212-316-1479
Practice Address - Street 1:348 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5910
Practice Address - Country:US
Practice Address - Phone:718-604-2412
Practice Address - Fax:212-316-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153323261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY062125Medicare UPIN