NPI 1003126046

Kingsboro Psychiatric Center

Organisation Psychiatric Hospital Brooklyn, NY

Practice location

Address: 681 Clarkson Ave, Brooklyn, NY 11203-2125
Phone: (718) 221-7053
Mailing address: 31 Bridgewater CT, Jackson, NJ 08527-4030

Authorised official

Name: Magalie St. Lot Jacques
Title: Assistant Psychiatrist
Phone: (718) 221-7053

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence P25101 (NY)

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Registry record

NPI: 1003126046
Entity type: Organization
NPI issued: 8 Oct 2010
Record last updated: 8 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.