12th Avenue Extension Clinic · Premium Health, Inc.

7184077300 · 4406 12th Avenue, Brooklyn, New York 11219

Overview

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 Information

Facility ID15392
Facility Name12th Avenue Extension Clinic
Main Site NamePremium Health
DescriptionDiagnostic and Treatment Center Extension Clinic (DTC-EC) (DTC-EC)
Address4406 12th Avenue
Brooklyn
New York 11219
CountyKings (7095)
Telephone7184077300
Regional Office ID5
Regional OfficeMetropolitan Area Regional Office - New York City
Ownership TypeNot for Profit Corporation
Open Date2022-12-22

Operator Information

Operating Certificate Number7001132R
Operator NamePremium Health, Inc.
Operator Address620 Foster Avenue
Brooklyn
New York 11230
Cooperator AddressNew York

Facility Certification Information

Attribute TypeAttribute ValueMeasure ValueSub TypeEffective Date
ServiceMedical Services - Primary CareProcessing Stations2022-12-22

Facilities with the same name

Facility NameAddressDescriptionOpen Date
Premium Health, Inc. 620 Foster Avenue, Brooklyn, New York 11230Diagnostic and Treatment Center2012-12-18
Premium Health Women's Health Center · Premium Health, Inc. 4514 16th Avenue, Brooklyn, New York 11204Diagnostic and Treatment Center Extension Clinic2019-10-24
Premium Health Peds Center · Premium Health, Inc. 5506 15th Avenue, Brooklyn, New York 11219Diagnostic and Treatment Center Extension Clinic2016-11-09
18th Avenue Extension Clinic · Premium Health, Inc. 5323 18th Avenue, Brooklyn, New York 11204Diagnostic and Treatment Center Extension Clinic2022-12-22

Location Information

Street Address 4406 12th Avenue
CityBrooklyn
StateNew York
Zip Code11219

Facilities in the same zip code

Facility NameAddressDescriptionOpen Date
Maimonides Rehabilitation Services · Maimonides Medical Center 883 65th Street, Brooklyn, New York 11219Hospital Extension Clinic1994-12-12
Maimonides Cardiology Outpatient Center · Maimonides Medical Center 850 49th Street, Brooklyn, New York 11219Hospital Extension Clinic2013-09-30
Beth Jacob Day Care · L'Refuah Medical & Rehabilitation Center,Inc 1363 46th Street, Brooklyn, New York 11219School Based Diagnostic and Treatment Center Extension Clinic2006-08-04
Ezra Medical Center · L'Refuah Medical & Rehabilitation Center,Inc 1260-78 60th Street, Brooklyn, New York 11219Diagnostic and Treatment Center Extension Clinic2016-07-26
Maimonides Adult Primary Care 57th Street · Maimonides Medical Center 1250 57th St, Brooklyn, New York 11219Hospital Extension Clinic1998-09-23
Ps 164 · NYU Langone Hospitals 4211 14th Avenue, Brooklyn, New York 11219School Based Hospital Extension Clinic2016-08-05
The Royal Care Inc. 6323 14th Avenue, Brooklyn, New York 11219Licensed Home Care Services Agency1995-08-15
All Care Home Health Services, Llc 6810 New Utrecht Avenue, Brooklyn, New York 11219Licensed Home Care Services Agency2008-06-06
Borough Park Dialysis · Knickerbocker Dialysis, Inc 4102 13th Avenue, Brooklyn, New York 11219Diagnostic and Treatment Center Extension Clinic2011-02-04
Infusion Options, Inc. 5924 13th Avenue, Brooklyn, New York 11219Licensed Home Care Services Agency2005-03-31
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Similar Entities

Facilities with similar names

Facility NameAddressDescriptionOpen Date
Primary Care Extension Clinic · Schuyler Hospital, Inc. 2138 West Seneca Street, Ovid, New York 14521Primary Care Hospital - Critical Access Hospital Extension Clinic2005-10-13
Outpatient Extension Clinic · University of Rochester Inc 40 Celebration Drive, Rochester, New York 14620Hospital Extension Clinic2019-08-05
Outpatient Extension Clinic · University of Rochester Inc 60 Greece Center Drive, Rochester, New York 14612Hospital Extension Clinic2019-07-24
PS 94 Health Extension Clinic · NYU Langone Hospitals 5010 6th Avenue, Brooklyn, New York 11220School Based Hospital Extension Clinic1992-07-01
Outpatient Extension Clinic · University of Rochester Inc 200 East River Road, Rochester, New York 14623Hospital Extension Clinic2017-01-19
Suffern Extension Clinic · Refuah Health Center 100 Route 59, Suite 105, Suffern, New York 10901Diagnostic and Treatment Center Extension Clinic2016-08-10
Outpatient Extension Clinic - Lattimore · University of Rochester Inc 125 Lattimore Road, Rochester, New York 14620Hospital Extension Clinic2012-04-09
Coney Island Hospital Mobile Extension Clinic · New York City Health and Hospital Corporation 460 Brielle Avenue, Staten Island, New York 10314Mobile Hospital Extension Clinic2011-10-19
Outpatient Extension Clinic - Batavia · University of Rochester Inc 7995 Call Parkway, Batavia, New York 14020Hospital Extension Clinic2022-05-10
Outpatient Extension Clinic · University of Rochester Inc 2300 Jefferson Road, Pittsford, New York 14534Hospital Extension Clinic2019-09-26

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Dataset Information

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.

SubjectHealth
JurisdictionState of New York
Data ProviderNew York State Department of Health, Center for Health Care Facility Planning, Licensure, and Finance
Sourcedata.ny.gov

Dataset Details

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.