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NPI Code Detail

MEDICARE: KING DAVID CENTER FOR NURSING AND REHABILITATION ADHC

MEDICARE: KING DAVID CENTER FOR NURSING AND REHABILITATION ADHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053460071
Entity Type Code : Organization
Provider Name (Legal Business Name) : KING DAVID CENTER FOR NURSING AND REHABILITATION ADHC
Provider Business Mailing Address
First Line : 2266 CROPSEY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5706
Country : US
Telephone Number : 718-266-6100
Fax Number : 718-363-2875
Provider Business Practice Location Address
First Line : 2266 CROPSEY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5706
Country : US
Telephone Number : 718-266-6100
Fax Number : 718-363-2875
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : CONNIE JAROSLAWICZ
Credential :
Telephone Number : 718-567-1000
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/15/2016

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Directions to “KING DAVID CENTER FOR NURSING AND REHABILITATION ADHC ” Practice Location

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