Provider Demographics
NPI:1639256639
Name:WOODHULL HOSPITAL
Entity type:Organization
Organization Name:WOODHULL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING
Authorized Official - Prefix:
Authorized Official - First Name:TEHMINA
Authorized Official - Middle Name:MUNIR
Authorized Official - Last Name:KAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-620-3220
Mailing Address - Street 1:350 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1703
Mailing Address - Country:US
Mailing Address - Phone:718-630-3220
Mailing Address - Fax:718-630-3236
Practice Address - Street 1:875 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2227
Practice Address - Country:US
Practice Address - Phone:718-630-3220
Practice Address - Fax:718-630-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218583261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care