Basic Information
| Provider Information | |||||||||
| NPI: | 1093918526 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WOODHULL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26 FORREST ST | ||||||||
| Address2: | #1 | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112064615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184434974 | ||||||||
| FaxNumber: | 7186303138 | ||||||||
| Practice Location | |||||||||
| Address1: | 760 BROADWAY | ||||||||
| Address2: | WOODHULL HOSPITAL | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189635721 | ||||||||
| FaxNumber: | 7186303138 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SANCHEZ | ||||||||
| AuthorizedOfficialFirstName: | HELEIDE | ||||||||
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| AuthorizedOfficialTitleorPosition: | SOCIAL WORKER | ||||||||
| AuthorizedOfficialTelephone: | 7189635721 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LMSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | P55151 | NY | Y | Hospitals | General Acute Care Hospital |
No ID Information.