MEDICARE: BROOKLYN BUREAU OF COMMUNITY SERVICE

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	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669548046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKLYN BUREAU OF COMMUNITY SERVICE

Provider Business Mailing Address
First Line	:	540 ATLANTIC AVENUE 2ND FLOOR
Second Line	:	DAY HABILITATION SERVICES BROOKLYN BUREAU OF COMMUNITY
City	:	BROOKLYN
State	:	NY
Zip	:	11217-1024
Country	:	US
Telephone Number	:	718-943-4247
Fax Number	:	718-596-4589

Provider Business Practice Location Address
First Line	:	540 ATLANTIC AVENUE 2ND FLOOR
Second Line	:	DAY HABILITATION SERVICES
City	:	BROOKLYN
State	:	NY
Zip	:	11217-1024
Country	:	US
Telephone Number	:	718-943-4247
Fax Number	:	718-596-4589

Authorized Official
Title or Position	:	DIRECTOR ADULT REHABILITATION SERVI
Name	:	MS. LESLIE G KLEIN
Credential	:	MA CAS
Telephone Number	:	718-310-5630

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/22/2020

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Directions to “BROOKLYN BUREAU OF COMMUNITY SERVICE ” Practice Location

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