Provider Demographics
NPI:1609227800
Name:THE BROOKLYN HOSPITAL
Entity Type:Organization
Organization Name:THE BROOKLYN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HOUSE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-250-6604
Mailing Address - Street 1:10 CITY PT
Mailing Address - Street 2:APARTMENT 39C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5381
Mailing Address - Country:US
Mailing Address - Phone:646-664-5259
Mailing Address - Fax:
Practice Address - Street 1:10 CITY PT
Practice Address - Street 2:APARTMENT 39C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5381
Practice Address - Country:US
Practice Address - Phone:718-250-6923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty