1295065233 NPI number — MAIMONIDES MEDICAL CENTER-KINGS HWY

Table of content: (NPI 1295065233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295065233 NPI number — MAIMONIDES MEDICAL CENTER-KINGS HWY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAIMONIDES MEDICAL CENTER-KINGS HWY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295065233
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1729 E 12TH ST
Provider Second Line Business Mailing Address:
SUITE 2 MAIMONIDES OBGYN KINGS HWY WOMENS CARE
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11229-1088
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-998-7751
Provider Business Mailing Address Fax Number:
718-645-1853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1729 EAST 12TH STREET SUITE 2
Provider Second Line Business Practice Location Address:
MAIMONIDES OBGYN KINGS HWY WOMENS CARE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229-1088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-998-7751
Provider Business Practice Location Address Fax Number:
718-645-1853
Provider Enumeration Date:
01/13/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MINKOFF
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
718-283-8864

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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