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NPI Code Detail

MEDICARE: HOUSING WORKS SERVICES II, INC

MEDICARE: HOUSING WORKS SERVICES II, INC
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/Center7002148RNY
2261QP2300XPrimary Care Clinic/Center
3261QF0400XFederally Qualified Health Center (FQHC)

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 : 1083647101
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSING WORKS SERVICES II, INC
Provider Business Mailing Address
First Line : 57 WILLOUGHBY ST
Second Line : 2ND FL CREDENTIALING DEPT.
City : BROOKLYN
State : NY
Zip : 11201-5257
Country : US
Telephone Number : 718-408-6522
Fax Number : 929-480-9133
Provider Business Practice Location Address
First Line : 57 WILLOUGHBY ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5257
Country : US
Telephone Number : 718-408-6522
Fax Number : 929-480-9133
Authorized Official
Title or Position : DIRECTOR OF CREDENTIALING
Name : DEBORA CARRERO
Credential :
Telephone Number : 718-408-6522
Provider Enumeration Date : 07/09/2006
Last Update Date : 10/27/2025

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