Provider Demographics
NPI:1740729326
Name:BROOKDALE HOSPITAL
Entity type:Organization
Organization Name:BROOKDALE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:MONCHOIR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-240-5000
Mailing Address - Street 1:1 LINDEN BLVD AT BROOKDALE PLAZA
Mailing Address - Street 2:DEPT. OF PHARMACY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:718-240-5000
Mailing Address - Fax:718-240-6581
Practice Address - Street 1:1 LINDEN BLVD
Practice Address - Street 2:DEPT. OF PHARMACY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-5000
Practice Address - Fax:718-240-6581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040477282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital