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NPI Code Detail

MEDICARE: OMRDD-BFFY

MEDICARE: OMRDD-BFFY
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
1251B00000XCase Management AgencyNY

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 : 1598809618
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMRDD-BFFY
Provider Business Mailing Address
First Line : 191 JORALEMON ST
Second Line : 9TH FLOOR
City : BROOKLYN
State : NY
Zip : 11201-4306
Country : US
Telephone Number : 718-722-6038
Fax Number : 718-722-6219
Provider Business Practice Location Address
First Line : 1469 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2428
Country : US
Telephone Number : 718-253-4477
Fax Number :
Authorized Official
Title or Position : EXECUTIVE SECRETARY
Name : DONNA CORRADO
Credential :
Telephone Number : 718-722-6123
Provider Enumeration Date : 02/20/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1134280050 — MS. JACQUELINE S YATES L.M.S.W., C.A.S.A.C.
Practice Location Address:
1463 FLATBUSH AVE
BROOKLYN, NY
11210-2428
Practice Phone: 718-951-9009
Practice Fax: 718-951-9719
1831250588 — DR. MARTIN BODEK DDS
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1491 FLATBUSH AVE
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1801922497 — MR. GEORGE SCOTT MATOUS LCSW
Practice Location Address:
1463 FLATBUSH AVE
BROOKLYN, NY
11210-2428
Practice Phone: 718-951-9009
Practice Fax: 718-951-9719
1699801282 — MS. MARGARET L DE HAAN
Practice Location Address:
1463 FLATBUSH AVE
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11210-2428
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1457488496 — KRISTINA M ROSANO LMSW
Practice Location Address:
1463 FLATBUSH AVE
BROOKLYN, NY
11210-2428
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1356479885 — ANNA GOLDBERG CASACT
Practice Location Address:
1463 FLATBUSH AVE
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Practice Phone: 718-951-9009
Practice Fax: 718-951-9719

Directions to “OMRDD-BFFY ” Practice Location

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