Healthcare Provider Details

I. General information

NPI: 1790609360
Provider Name (Legal Business Name): HAMASPIK OF KINGS COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 14TH AVE
BROOKLYN NY
11219-1401
US

IV. Provider business mailing address

4102 14TH AVE
BROOKLYN NY
11219-1401
US

V. Phone/Fax

Practice location:
  • Phone: 718-408-5106
  • Fax:
Mailing address:
  • Phone: 718-408-5106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: TZVI WERTHEIMER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 718-387-8400