Basic Information
| Provider Information | |||||||||
| NPI: | 1295040368 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VA HOSPITAL BROOKLYN NEW YORK | ||||||||
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| Mailing Information | |||||||||
| Address1: | 618 47TH ST | ||||||||
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| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112201415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188366600 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 POLY PL | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112097104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188366600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2010 | ||||||||
| LastUpdateDate: | 08/13/2010 | ||||||||
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| AuthorizedOfficialLastName: | CABRERA ROSALES | ||||||||
| AuthorizedOfficialFirstName: | AURORA | ||||||||
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| AuthorizedOfficialTitleorPosition: | NURSE PRACTITIONER | ||||||||
| AuthorizedOfficialTelephone: | 3479074714 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2865M2000X | F335817-1 | NY | Y | Hospitals | Military Hospital | Military General Acute Care Hospital |
No ID Information.