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General NPI Number Information
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NPI Number | 1700120888
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Entity Type | Organization
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Legal Business Name | HAMASPIK OF KINGS COUNTY, INC.
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 4102 14TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11219-1401
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Country | US
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Telephone | 718-387-8400
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Fax | 718-599-3261
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Provider Business Mailing Address
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Address Line | 4102 14TH AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11219-1401
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Country | US
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Telephone | 718-387-8400
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Fax | 718-408-6106
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TZVI WERTHEIMER
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Credential |
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Telephone | 718-387-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 02004846
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License Number State | NY
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