Healthcare Provider Details

I. General information

NPI: 1164279873
Provider Name (Legal Business Name): HAMASPIK OF KINGS COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
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: 718-387-8400
  • Fax:
Mailing address:
  • Phone: 718-387-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

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