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NPI Code Detail

MEDICARE: HOUSING WORKS HEALTH SERVICES III, INC.

MEDICARE: HOUSING WORKS HEALTH SERVICES III, 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
1261QP2300XPrimary Care Clinic/Center
2261QR0405XSubstance Use Disorder Rehabilitation 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 : 1114950151
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSING WORKS HEALTH SERVICES III, INC.
Provider Business Mailing 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
Provider Business Practice Location Address
First Line : 2640 PITKIN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-2629
Country : US
Telephone Number : 718-827-8700
Fax Number : 718-827-5557
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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Directions to “HOUSING WORKS HEALTH SERVICES III, INC. ” Practice Location

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