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NPI Code Detail

MEDICARE: RESURGENCY SHELTERS INC

MEDICARE: RESURGENCY SHELTERS 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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1134699275
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESURGENCY SHELTERS INC
Provider Business Mailing Address
First Line : 142 TARA DR
Second Line :
City : ROSLYN
State : NY
Zip : 11576-2726
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1074 PROSPECT AVE
Second Line :
City : BRONX
State : NY
Zip : 10459-2714
Country : US
Telephone Number : 516-801-1853
Fax Number :
Authorized Official
Title or Position : CO-PRESIDENT
Name : LEWIS KESTEN
Credential :
Telephone Number : 516-801-1853
Provider Enumeration Date : 12/02/2018
Last Update Date : 12/02/2018

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Directions to “RESURGENCY SHELTERS INC ” Practice Location

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