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NPI Code Detail

MEDICARE: HEALTH CARE CHOICES NY INC

MEDICARE: HEALTH CARE CHOICES NY INC
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
1261QM1300XMulti-Specialty Clinic/Center7001299RNY
2261QF0400XFederally Qualified Health Center (FQHC)7001299RNY

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 : 1770521270
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH CARE CHOICES NY INC
Provider Business Mailing Address
First Line : 6209 16TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2702
Country : US
Telephone Number : 718-234-0073
Fax Number : 718-236-8456
Provider Business Practice Location Address
First Line : 6209 16TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2702
Country : US
Telephone Number : 718-234-0073
Fax Number : 718-236-8456
Authorized Official
Title or Position : CEO
Name : MARIA SIEBEL
Credential : LCSW
Telephone Number : 718-234-0073
Provider Enumeration Date : 06/04/2006
Last Update Date : 02/24/2023

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1306978093 — MS. REBECCA HANA MILBURN L.C.S.W.
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1376873265 — ICL MEDICAID SERVICE COORDINATION (MSC)
Practice Location Address:
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