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

Address: 620 Foster Avenue, Brooklyn, New York 11230
Description: Diagnostic and Treatment Center
Open Date: 2012-12-18
Address: 5506 15th Avenue, Brooklyn, New York 11219
Description: Diagnostic and Treatment Center Extension Clinic
Main Site Name: Premium Health
Open Date: 2016-11-09
Address: 5323 18th Avenue, Brooklyn, New York 11204
Description: Diagnostic and Treatment Center Extension Clinic
Main Site Name: Premium Health
Open Date: 2022-12-22
Address: 4514 16th Avenue, Brooklyn, New York 11204
Description: Diagnostic and Treatment Center Extension Clinic
Main Site Name: Premium Health
Open Date: 2019-10-24

Location Information

Street Address 4406 12th Avenue
CityBrooklyn
StateNew York
Zip Code11219

Facilities in the same zip code

Address: 1250 57th St, Brooklyn, New York 11219
Description: Hospital Extension Clinic
Main Site Name: Maimonides Medical Center
Open Date: 1998-09-23
Address: 4303-4305 13th Avenue, Brooklyn, New York 11219
Description: Hospital Extension Clinic
Main Site Name: Maimonides Medical Center
Open Date: 1998-04-27
Address: 883 65th Street, Brooklyn, New York 11219
Description: Hospital Extension Clinic
Main Site Name: Maimonides Medical Center
Open Date: 1994-12-12
Address: 850 49th Street, Brooklyn, New York 11219
Description: Hospital Extension Clinic
Main Site Name: Maimonides Medical Center
Open Date: 2013-09-30
Address: 6323 14th Avenue, Brooklyn, New York 11219
Description: Licensed Home Care Services Agency
Open Date: 1995-08-15
Address: 1363 46th Street, Brooklyn, New York 11219
Description: School Based Diagnostic and Treatment Center Extension Clinic
Main Site Name: L'Refuah Medical & Rehabilitation Center
Open Date: 2006-08-04
Address: 5506 15th Avenue, Brooklyn, New York 11219
Description: Diagnostic and Treatment Center Extension Clinic
Main Site Name: Premium Health
Open Date: 2016-11-09
Address: 4206 15th Avenue, Brooklyn, New York 11219
Description: School Based Diagnostic and Treatment Center Extension Clinic
Main Site Name: L'Refuah Medical & Rehabilitation Center
Open Date: 2006-08-04
Address: 1301 57th St, Brooklyn, New York 11219
Description: Hospital Extension Clinic
Main Site Name: Maimonides Medical Center
Open Date: 1995-04-24
Address: 4102 13th Avenue, Brooklyn, New York 11219
Description: Diagnostic and Treatment Center Extension Clinic
Main Site Name: Bronx Dialysis Center
Open Date: 2011-02-04
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Open Date: 2016-08-10
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Open Date: 2005-10-13
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Open Date: 2019-08-05
Address: 5010 6th Avenue, Brooklyn, New York 11220
Description: School Based Hospital Extension Clinic
Main Site Name: NYU Langone Hospitals
Open Date: 1992-07-01
Address: 60 Greece Center Drive, Rochester, New York 14612
Description: Hospital Extension Clinic
Main Site Name: Strong Memorial Hospital
Open Date: 2019-07-24
Address: 460 Brielle Avenue, Staten Island, New York 10314
Description: Mobile Hospital Extension Clinic
Main Site Name: NYC Health + Hospitals/South Brooklyn Health
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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.