12th Avenue Extension Clinic is a health facility in Brooklyn registered in the Health Facilities Information System of New York State Department of Health. The facility type is Diagnostic and Treatment Center Extension Clinic (DTC-EC) (DTC-EC). The business location is at 4406 12th Avenue, Brooklyn, New York 11219. The operator name is Premium Health, Inc.. The operator address is 620 Foster Avenue, Brooklyn, New York 11230. The main site of the facility is Premium Health. The facility open date is December 22, 2022.
| Facility ID | 15392 |
| Facility Name | 12th Avenue Extension Clinic |
| Main Site Name | Premium Health |
| Description | Diagnostic and Treatment Center Extension Clinic (DTC-EC) (DTC-EC) |
| Address | 4406 12th Avenue Brooklyn New York 11219 |
| County | Kings (7095) |
| Telephone | 7184077300 |
| Regional Office ID | 5 |
| Regional Office | Metropolitan Area Regional Office - New York City |
| Ownership Type | Not for Profit Corporation |
| Open Date | 2022-12-22 |
| Operating Certificate Number | 7001132R |
| Operator Name | Premium Health, Inc. |
| Operator Address | 620 Foster Avenue Brooklyn New York 11230 |
| Cooperator Address | New York |
| Attribute Type | Attribute Value | Measure Value | Sub Type | Effective Date |
|---|---|---|---|---|
| Service | Medical Services - Primary Care | Processing Stations | 2022-12-22 |
| Facility Name | Address | Description | Open Date |
|---|---|---|---|
| Premium Health Women's Health Center · Premium Health, Inc. | 4514 16th Avenue, Brooklyn, New York 11204 | Diagnostic and Treatment Center Extension Clinic | 2019-10-24 |
| 18th Avenue Extension Clinic · Premium Health, Inc. | 5323 18th Avenue, Brooklyn, New York 11204 | Diagnostic and Treatment Center Extension Clinic | 2022-12-22 |
| Premium Health Peds Center · Premium Health, Inc. | 5506 15th Avenue, Brooklyn, New York 11219 | Diagnostic and Treatment Center Extension Clinic | 2016-11-09 |
| Premium Health, Inc. | 620 Foster Avenue, Brooklyn, New York 11230 | Diagnostic and Treatment Center | 2012-12-18 |
| Street Address |
4406 12th Avenue |
| City | Brooklyn |
| State | New York |
| Zip Code | 11219 |
| Facility Name | Address | Description | Open Date |
|---|---|---|---|
| Borough Park Dialysis · Knickerbocker Dialysis, Inc | 4102 13th Avenue, Brooklyn, New York 11219 | Diagnostic and Treatment Center Extension Clinic | 2011-02-04 |
| Maimonides Pediatric Care 57th Street · Maimonides Medical Center | 1301 57th St, Brooklyn, New York 11219 | Hospital Extension Clinic | 1995-04-24 |
| Maimonides Rehabilitation Services · Maimonides Medical Center | 883 65th Street, Brooklyn, New York 11219 | Hospital Extension Clinic | 1994-12-12 |
| Courtesy Care, Llc | 1333 60th Street, Brooklyn, New York 11219 | Licensed Home Care Services Agency | 2012-06-26 |
| Crown Of Life Care Ny Llc | 1368 60th Street, Brooklyn, New York 11219 | Licensed Home Care Services Agency | 2017-05-01 |
| The Royal Care Inc. | 6323 14th Avenue, Brooklyn, New York 11219 | Licensed Home Care Services Agency | 1995-08-15 |
| Maimonides Cardiology Outpatient Center · Maimonides Medical Center | 850 49th Street, Brooklyn, New York 11219 | Hospital Extension Clinic | 2013-09-30 |
| Greater New York Nursing Services · Greater New York Home Care, Llc | 6321 New Utrecht Avenue, 2nd Floor, Brooklyn, New York 11219 | Licensed Home Care Services Agency | 2011-03-01 |
| Maimonides Adult/Ped Dental Center · Maimonides Medical Center | 4303-4305 13th Avenue, Brooklyn, New York 11219 | Hospital Extension Clinic | 1998-04-27 |
| All Care Home Health Services, Llc | 6810 New Utrecht Avenue, Brooklyn, New York 11219 | Licensed Home Care Services Agency | 2008-06-06 |
| Find all facilities in the same zip code | |||
| Facility Name | Address | Description | Open Date |
|---|---|---|---|
| Outpatient Extension Clinic · University of Rochester Inc | 2300 Jefferson Road, Pittsford, New York 14534 | Hospital Extension Clinic | 2019-09-26 |
| Coney Island Hospital Mobile Extension Clinic · New York City Health and Hospital Corporation | 460 Brielle Avenue, Staten Island, New York 10314 | Mobile Hospital Extension Clinic | 2011-10-19 |
| PS 94 Health Extension Clinic · NYU Langone Hospitals | 5010 6th Avenue, Brooklyn, New York 11220 | School Based Hospital Extension Clinic | 1992-07-01 |
| Outpatient Extension Clinic · University of Rochester Inc | 60 Greece Center Drive, Rochester, New York 14612 | Hospital Extension Clinic | 2019-07-24 |
| Suffern Extension Clinic · Refuah Health Center | 100 Route 59, Suite 105, Suffern, New York 10901 | Diagnostic and Treatment Center Extension Clinic | 2016-08-10 |
| Outpatient Extension Clinic · University of Rochester Inc | 40 Celebration Drive, Rochester, New York 14620 | Hospital Extension Clinic | 2019-08-05 |
| Clinical Rehab Extension Clinic · Greater Hudson Valley Health System, Inc. | 110 Crystal Run Road, Middletown, New York 10940 | Hospital Extension Clinic | 2002-08-31 |
| Outpatient Extension Clinic · University of Rochester Inc | 959 Panorama Trail South, Rochester, New York 14625 | Hospital Extension Clinic | 2020-06-11 |
| Outpatient Extension Clinic · University of Rochester Inc | 158 Sawgrass Drive, Rochester, New York 14620 | Hospital Extension Clinic | 2019-12-05 |
| Pittsford Extension Clinic - UC · University of Rochester Inc | 3400 Monroe Avenue, Rochester, New York 14618 | Hospital Extension Clinic | 2018-10-24 |
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This dataset includes about 6,000 health facilities registered with the Health Facilities Information System of New York State Department of Health. The Health Facilities Information System (HFIS) contains Article 28, Article 36, Article 40, and Article 7 health care facilities and programs. Each facility is registered with facility ID, facility name, business address, operator name, operator address, telephone, website, open date, etc.
| Subject | Health |
| Jurisdiction | State of New York |
| Data Provider | New York State Department of Health, Center for Health Care Facility Planning, Licensure, and Finance |
| Source | data.ny.gov |
The Center for Health Care Facility Planning, Licensure, and Finance of New York State Department of Health maintains the Health Facilities Information System (HFIS), which contains the operating certificate information of the following licensed health care facilities: (1) Article 28: Hospitals, Nursing Homes, Diagnostic and Treatment Centers, Midwifery Birth Centers; (2) Article 36: Certified Home Health Agencies, Licensed Home Care Services Agencies, Long Term Home Health Care Programs; and (3) Article 40: Hospices. The information contains the operator and the site of service, including operator name, site address, and certified beds and/or services. This dataset contains the locations of Article 28, Article 36, Article 40, and Article 7 health care facilities and programs from the Health Facilities Information System (HFIS). Article 28 facilities are hospitals, nursing homes, diagnostic treatment centers and midwifery birth centers. Article 36 facilities are certified home health care agencies, licensed home care services agencies, and long term home health care programs. Article 40 facilities are hospices. Article 7 are licensed adult care facilities. Each facility is registered with facility ID, facility name, business address, operator name, operator address, telephone, website, open date, etc. To give New Yorkers the access they deserve to government data and information, Governor Andrew M. Cuomo launched the Open NY initiative in March 2013 and signed Executive Order 95. It directs state agencies to identify, catalog, and publish their data on the state's open data website administered by the Office of Information Technology Services (ITS). Open NY increases transparency, improves government performance, empowers New Yorkers to participate in government, and encourages research and economic opportunities statewide. |