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NPI Code Detail

MEDICARE: BREAK FREE

MEDICARE: BREAK FREE
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
1251B00000XCase Management Agency073324NY
2251S00000XCommunity/Behavioral Health Agency073324NY

General Provider Information

NPI Number : 1033360870
Entity Type Code : Organization
Provider Name (Legal Business Name) : BREAK FREE
Provider Business Mailing Address
First Line : 2020 CONEY ISLAND AVE
Second Line : 1007 QUENTIN RD
City : BROOKLYN
State : NY
Zip : 11223-2329
Country : US
Telephone Number : 718-676-4280
Fax Number :
Provider Business Practice Location Address
First Line : 2020 CONEY ISLAND AVE
Second Line : 1007 QUENTIN RD
City : BROOKLYN
State : NY
Zip : 11223-2329
Country : US
Telephone Number : 718-676-4280
Fax Number :
Authorized Official
Title or Position : SUPERVISOR
Name : MRS. RACHEL RUBENSTEIN
Credential : LCMSW
Telephone Number : 718-676-4280
Provider Enumeration Date : 10/09/2008
Last Update Date : 10/09/2008

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Directions to “BREAK FREE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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