Basic Information
| Provider Information | |||||||||
| NPI: | 1639256639 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | WOODHULL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 350 ATLANTIC AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112171703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186303220 | ||||||||
| FaxNumber: | 7186303236 | ||||||||
| Practice Location | |||||||||
| Address1: | 875 MANHATTAN AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112222227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186303220 | ||||||||
| FaxNumber: | 7186303236 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 07/06/2010 | ||||||||
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| AuthorizedOfficialLastName: | KAZMI | ||||||||
| AuthorizedOfficialFirstName: | TEHMINA | ||||||||
| AuthorizedOfficialMiddleName: | MUNIR | ||||||||
| AuthorizedOfficialTitleorPosition: | ATTENDING | ||||||||
| AuthorizedOfficialTelephone: | 7186203220 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | 218583 | NY | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.