Basic Information
| Provider Information | |||||||||
| NPI: | 1285711184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LINDNER | ||||||||
| FirstName: | JOSEPH | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | BROOKDALE HOSPITAL MEDICAL CENTER EMERGENCY DEPT | ||||||||
| Address2: | 1 BROOKDALE PLAZA | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112123139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162414733 | ||||||||
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| Practice Location | |||||||||
| Address1: | BROOKDALE HOSPITAL MEDICAL CENTER EMERGENCY MEDICINE | ||||||||
| Address2: | 1 BROOKDALE PLAZA | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182405363 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 008822--1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 008822-1 | 01 | NY | NY STATE REGISTRATION | OTHER |