MEDICARE: VISITING NURSE ASSOCIATION OF BROOKLYN, INC.

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
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104911304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE ASSOCIATION OF BROOKLYN, INC.

Provider Business Mailing Address
First Line	:	15 METROTECH CTR
Second Line	:	11TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3818
Country	:	US
Telephone Number	:	718-923-7100
Fax Number	:	718-923-8183

Provider Business Practice Location Address
First Line	:	15 METROTECH CTR
Second Line	:	11TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3818
Country	:	US
Telephone Number	:	718-923-7100
Fax Number	:	718-923-8183

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MS. MARYJANE GIGATTI
Credential	:
Telephone Number	:	718-923-7185

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	02/25/2011

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