Healthcare Provider Details

I. General information

NPI: 1770521270
Provider Name (Legal Business Name): HEALTH CARE CHOICES NY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6209 16TH AVE
BROOKLYN NY
11204-2702
US

IV. Provider business mailing address

6209 16TH AVE
BROOKLYN NY
11204-2702
US

V. Phone/Fax

Practice location:
  • Phone: 718-234-0073
  • Fax: 718-236-8456
Mailing address:
  • Phone: 718-234-0073
  • Fax: 718-236-8456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number7001299R
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number7001299R
License Number StateNY

VIII. Authorized Official

Name: MARIA SIEBEL
Title or Position: CEO
Credential: LCSW
Phone: 718-234-0073