MEDICARE: METROPOLITAN FAMILY 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
1	252Y00000X	Early Intervention Provider Agency		NY

General Provider Information

NPI Number	:	1528432549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN FAMILY SERVICES

Provider Business Mailing Address
First Line	:	1958 FULTON ST STE 403
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-3104
Country	:	US
Telephone Number	:	718-858-7234
Fax Number	:

Provider Business Practice Location Address
First Line	:	1958 FULTON ST STE 403
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-3104
Country	:	US
Telephone Number	:	718-858-7234
Fax Number	:

Authorized Official
Title or Position	:	ON-GOING SERVICE COORDINATOR
Name	:	MS. GENNESYS PERALTA
Credential	:
Telephone Number	:	917-932-7950

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	11/16/2015

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