Provider Demographics
NPI:1154355105
Name:BROOKLYN COMPREHENSIVE CARE CENTER INC.
Entity type:Organization
Organization Name:BROOKLYN COMPREHENSIVE CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARKADY
Authorized Official - Middle Name:
Authorized Official - Last Name:STAROVOYT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-333-2500
Mailing Address - Street 1:7608 BAY PKWY STE BC
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1572
Mailing Address - Country:US
Mailing Address - Phone:718-333-2500
Mailing Address - Fax:718-265-2714
Practice Address - Street 1:7608 BAY PKWY STE BC
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1572
Practice Address - Country:US
Practice Address - Phone:718-333-2500
Practice Address - Fax:718-265-2714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217079207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02577815Medicaid
NY02577815Medicaid