BROOKS - TLC HOSPITAL SYSTEM INC. NPI 1225654494

NPI Information

  • NPI: 1225654494
  • Provider Name: BROOKS - TLC HOSPITAL SYSTEM, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: SUD CLINICS
  • CLIA Number: 33D0711389
  • Address: 7020 ERIE ROAD
    DERBY, NY
    ZIP 14047
  • Phone: (716) 947-0316

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NPI Details

BROOKS - TLC HOSPITAL SYSTEM, INC. is a rehabilitation and substance use disorder clinic center in Derby, NY. BROOKS - TLC HOSPITAL SYSTEM, INC. NPI is 1225654494. The provider is registered as an organization entity type.
The provider Other Name Is Sud Clinics.

The provider's business location address is:

7020 ERIE ROAD
DERBY, NY
ZIP 14047
Phone: (716) 947-0316

The provider's authorized official is Mary Elizabeth Larowe .
The authorized official title is President & Ceo and has the following contact phone number (716) 363-7207.

The CLIA number assigned to this NPI record is 33D0711389 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 6/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
2276400000XRehabilitation, Substance Use Disorder UnitNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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