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NPI Code Detail

MEDICARE: FIRST STEP,LLC

MEDICARE: FIRST STEP,LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency012594-1NY

General Provider Information

NPI Number : 1003810722
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST STEP,LLC
Provider Business Mailing Address
First Line : 2610 E 18TH ST
Second Line : STE 8
City : BROOKLYN
State : NY
Zip : 11235-3604
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Provider Business Practice Location Address
First Line : 2610 E 18TH ST
Second Line : STE 8
City : BROOKLYN
State : NY
Zip : 11235-3604
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Authorized Official
Title or Position : PRESIDENT
Name : MRS. LINA ZHITNIK
Credential : OTR/L
Telephone Number : 718-332-0080
Provider Enumeration Date : 06/09/2005
Last Update Date : 08/22/2020

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Directions to “FIRST STEP,LLC ” Practice Location

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