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General NPI Number Information
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NPI Number | 1750934436
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Entity Type | Organization
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Legal Business Name | HOUSING WORKS HEALTH SERVICES III, INC.
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2640 PITKIN AVE OASAS DEPARTMENT
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City | BROOKLYN
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State | NY
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Zip | 11208-2629
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Country | US
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Telephone | 718-827-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 57 WILLOUGHBY ST 2ND FL, CREDENTILALING DEPARTMENT
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City | BROOKLYN
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State | NY
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Zip | 11201-5290
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALLING
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Name | DEBORA CARRERO
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Credential |
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Telephone | 718-408-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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