DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ROOTS 2 GROW LLC

MEDICARE: ROOTS 2 GROW 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
1251B00000XCase Management Agency
2252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1235608308
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROOTS 2 GROW LLC
Provider Business Mailing Address
First Line : 250 UTICA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-3931
Country : US
Telephone Number : 718-953-9011
Fax Number :
Provider Business Practice Location Address
First Line : 250 UTICA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-3931
Country : US
Telephone Number : 718-953-9011
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MS. ALEXANDRIA CHOUDHURY
Credential : MA
Telephone Number : 718-925-2009
Provider Enumeration Date : 11/19/2018
Last Update Date : 10/03/2023

Similar Medicare Providers

1841153749 — NEJRA SABOVIC
Practice Location Address:
250 UTICA AVE
BROOKLYN, NY
11213-3931
Practice Phone: 718-925-2009
Practice Fax:
1366305989 — ISAMAL JACOBO
Practice Location Address:
250 UTICA AVE
BROOKLYN, NY
11213-3931
Practice Phone: 718-925-2009
Practice Fax:
1184586646 — CLARIBEL TAVERAS
Practice Location Address:
250 UTICA AVE
BROOKLYN, NY
11213-3931
Practice Phone: 203-895-2834
Practice Fax:
1982007472 — MYSHIA DUNCAN REID BS
Practice Location Address:
250 UTICA AVE
BROOKLYN, NY
11213-3931
Practice Phone: 718-925-2009
Practice Fax:
1720675440 — JULIETTA STRAUSS
Practice Location Address:
250 UTICA AVE
BROOKLYN, NY
11213-3931
Practice Phone: 347-276-1353
Practice Fax:
1629700752 — MS. DANIELLE CONNOLLY
Practice Location Address:
250 UTICA AVE
BROOKLYN, NY
11213-3931
Practice Phone: 718-953-9012
Practice Fax:

Directions to “ROOTS 2 GROW LLC ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.