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NPI Code Detail

MEDICARE: A FRIENDLY FACE AKADEMY CORP.

MEDICARE: A FRIENDLY FACE AKADEMY CORP.
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1275025348
Entity Type Code : Organization
Provider Name (Legal Business Name) : A FRIENDLY FACE AKADEMY CORP.
Provider Business Mailing Address
First Line : 1887 RICHMOND AVE STE 5
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3923
Country : US
Telephone Number : 718-698-1300
Fax Number : 917-677-8601
Provider Business Practice Location Address
First Line : 1887 RICHMOND AVE STE 5
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3923
Country : US
Telephone Number : 718-698-1300
Fax Number : 917-677-8601
Authorized Official
Title or Position : CFO
Name : MRS. ELLA GOLDIN
Credential :
Telephone Number : 718-698-1300
Provider Enumeration Date : 06/04/2018
Last Update Date : 06/14/2023

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1720570187 — A FRIENDLY FACE AKADEMY CORP.
Practice Location Address:
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Practice Fax:

Directions to “A FRIENDLY FACE AKADEMY CORP. ” Practice Location

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