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NPI Code Detail

MEDICARE: CARERITE LLC

MEDICARE: CARERITE 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
1152W00000XOptometrist

General Provider Information

NPI Number : 1205272028
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARERITE LLC
Provider Business Mailing Address
First Line : 52 BROADWAY # B
Second Line : SUITE 1A
City : BROOKLYN
State : NY
Zip : 11249-5970
Country : US
Telephone Number : 212-764-0008
Fax Number : 212-764-0038
Provider Business Practice Location Address
First Line : 2107 DITMAS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6903
Country : US
Telephone Number : 212-764-0008
Fax Number : 212-764-0038
Authorized Official
Title or Position : OWNER
Name : MR. SOLOMON KLEIN
Credential :
Telephone Number : 347-909-1811
Provider Enumeration Date : 05/20/2013
Last Update Date : 05/21/2013

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Directions to “CARERITE LLC ” Practice Location

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