Healthcare Provider Details

I. General information

NPI: 1467041798
Provider Name (Legal Business Name): TOBB FUTURE ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 05/06/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 BEDFORD AVE
BROOKLYN NY
11216-5578
US

IV. Provider business mailing address

707 BEACH 9TH STREET SUITE 7K
FAR ROCKAWAY NY
11691
US

V. Phone/Fax

Practice location:
  • Phone: 347-902-9314
  • Fax:
Mailing address:
  • Phone: 347-902-9314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. CORNETTA MURRAY
Title or Position: DIRECTOR
Credential:
Phone: 347-902-2314