Healthcare Provider Details

I. General information

NPI: 1104222926
Provider Name (Legal Business Name): HCHC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 E 46TH ST
BROOKLYN NY
11203-1814
US

IV. Provider business mailing address

585 SCHENECTADY AVE LEVITON BLDG RM 413
BROOKLYN NY
11203-1851
US

V. Phone/Fax

Practice location:
  • Phone: 718-604-5283
  • Fax: 718-604-5737
Mailing address:
  • Phone: 718-604-5283
  • Fax: 718-604-5737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. FRIEDA KUGLER SPIVACK
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 718-604-5283