Healthcare Provider Details

I. General information

NPI: 1851201040
Provider Name (Legal Business Name): AMBER COURT OF BROOKLYN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E 104TH ST
BROOKLYN NY
11236-2504
US

IV. Provider business mailing address

650 E 104TH ST
BROOKLYN NY
11236-2504
US

V. Phone/Fax

Practice location:
  • Phone: 718-649-0700
  • Fax: 718-649-4441
Mailing address:
  • Phone: 718-649-0700
  • Fax: 718-649-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE BERGER
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-649-0700