Healthcare Provider Details

I. General information

NPI: 1073619839
Provider Name (Legal Business Name): AURORA CONCEPT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7831 PARSONS BLVD
FLUSHING NY
11366-1929
US

IV. Provider business mailing address

7831 PARSONS BLVD
FLUSHING NY
11366-1929
US

V. Phone/Fax

Practice location:
  • Phone: 718-969-7000
  • Fax: 718-820-0916
Mailing address:
  • Phone: 718-969-7000
  • Fax: 718-820-0916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNY

VIII. Authorized Official

Name: JULIAHONEY KAMENKER
Title or Position: MEDICAL BILLING COORDINATOR
Credential: CPC
Phone: 718-969-7000