Healthcare Provider Details

I. General information

NPI: 1669816708
Provider Name (Legal Business Name): B'KAVOD/WITH RESPECT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 04/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14730 73RD AVE
FLUSHING NY
11367-2930
US

IV. Provider business mailing address

14121 70TH RD
FLUSHING NY
11367-1936
US

V. Phone/Fax

Practice location:
  • Phone: 718-300-0234
  • Fax:
Mailing address:
  • Phone: 718-300-0234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REUVEN BECKER
Title or Position: DIRECTOR
Credential: MBA, MS, ORD.
Phone: 718-300-0234