Provider Demographics
NPI:1295065233
Name:MAIMONIDES MEDICAL CENTER-KINGS HWY
Entity type:Organization
Organization Name:MAIMONIDES MEDICAL CENTER-KINGS HWY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MINKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-283-8864
Mailing Address - Street 1:1729 E 12TH ST
Mailing Address - Street 2:SUITE 2 MAIMONIDES OBGYN KINGS HWY WOMENS CARE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1088
Mailing Address - Country:US
Mailing Address - Phone:718-998-7751
Mailing Address - Fax:718-645-1853
Practice Address - Street 1:1729 EAST 12TH STREET SUITE 2
Practice Address - Street 2:MAIMONIDES OBGYN KINGS HWY WOMENS CARE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1088
Practice Address - Country:US
Practice Address - Phone:718-998-7751
Practice Address - Fax:718-645-1853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty