Provider Demographics
NPI:1790719524
Name:THE BROOKLYN HOSPITAL CENTER
Entity Type:Organization
Organization Name:THE BROOKLYN HOSPITAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AVP OF PATIENT ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SELBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-488-3736
Mailing Address - Street 1:15 METROTECH CTR STE 3
Mailing Address - Street 2:C/O BERNADETTE SELBY, AVP OF PATIENT ACCOUNTING
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3826
Mailing Address - Country:US
Mailing Address - Phone:718-488-3736
Mailing Address - Fax:718-488-3725
Practice Address - Street 1:121 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5425
Practice Address - Country:US
Practice Address - Phone:718-488-3736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY287OtherEMPIRE BLUE CROSS
NY00243614Medicaid
NY33T056Medicare PIN