Brookdale Hospital
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Brooklyn, NY
NPI 1104127984 · NPPES record last updated Nov 9, 2010
Key facts
- NPI
- 1104127984
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- License
- 2592091 (NY)
- Legal business name
- BROOKDALE HOSPITAL
- Practice address
- 2258 84TH St
Brooklyn, NY 11214-3328 - Phone
- (347) 277-9084
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Tatyana Semenova, MD
- Title
- Phisician
- Phone
- (347) 277-9084
Practitioners 1
-
Tatyana Semenova, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 2592091 | NY | Yes |
Addresses
Primary practice location
2258 84TH St
Brooklyn, NY 11214-3328
Mailing address
2258 84TH St
Brooklyn, NY 11214-3328
Phone (347) 277-9084
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2592091 | Other | NY | STATE OF NEW YORK |
Other providers in Brooklyn, NY
- Brookdale Family Care Center, Inc.
- Brookdale Family Care Center, Inc.
- Brookdale Family Care Center, Inc.
- Brookdale Family Care Center, Inc.
- Brookdale Family Care Center, Inc.
- Brookdale Hospital
- Brookdale Hospital
- Brookdale Hospital
- Brookdale Hospital Medical Center
- Brookdale Hospital Medical Center
All providers in Brooklyn, NY · Adolescent and Children Mental Health Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.