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NPI Code Detail

MEDICARE: NEW GLORIA'S MANOR HOME CARE SERVICES

MEDICARE: NEW GLORIA'S MANOR HOME CARE SERVICES
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
1251E00000XHome Health Agency1056L001NY

General Provider Information

NPI Number : 1225347065
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW GLORIA'S MANOR HOME CARE SERVICES
Provider Business Mailing Address
First Line : 1332 44TH ST FL 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2108
Country : US
Telephone Number : 347-985-1060
Fax Number : 347-985-1059
Provider Business Practice Location Address
First Line : 1332 44TH ST FL 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2108
Country : US
Telephone Number : 347-985-1060
Fax Number : 347-985-1059
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JOSEPH JOSOWITZ
Credential :
Telephone Number : 347-985-1060
Provider Enumeration Date : 09/28/2010
Last Update Date : 09/28/2010

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Directions to “NEW GLORIA'S MANOR HOME CARE SERVICES ” Practice Location

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