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NPI Code Detail

MEDICARE: JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES

MEDICARE: JEWISH BOARD OF FAMILY AND CHILDREN'S 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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility024085NY

General Provider Information

NPI Number : 1427222850
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES
Provider Business Mailing Address
First Line : 1358 56TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4616
Country : US
Telephone Number : 718-851-7100
Fax Number : 718-438-2099
Provider Business Practice Location Address
First Line : 1358 56TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4616
Country : US
Telephone Number : 718-851-7100
Fax Number : 718-438-2099
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MRS. LAURIE CORLIN
Credential : LCSW
Telephone Number : 718-851-7100
Provider Enumeration Date : 04/16/2008
Last Update Date : 04/16/2008

Similar Medicare Providers

1730283300 — MRS. LAURIE M CORLIN LCSW
Practice Location Address:
1358 56TH ST
BROOKLYN, NY
11219-4616
Practice Phone: 718-851-7100
Practice Fax:
1114021672 — MR. MICHAEL BARNETT SCHWARTZ LCSW-R
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1342 56TH ST
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1447554613 — VILENA DEMENTYEVA RN
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1962784272 — GEETAWALI PUCKETT LPN
Practice Location Address:
1358 56TH ST
BROOKLYN, NY
11219-4616
Practice Phone: 718-851-7100
Practice Fax:
1376826206 — DIANA KENNEDO LPN
Practice Location Address:
1342 56TH ST
BROOKLYN, NY
11219-4616
Practice Phone: 718-851-7100
Practice Fax:
1316222789 — MS. HELAINE DOMINGUEZ RN
Practice Location Address:
1358 56TH ST
BROOKLYN, NY
11219-4616
Practice Phone: 718-851-7100
Practice Fax: 718-437-6397

Directions to “JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES ” Practice Location

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