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NPI Code Detail

MEDICARE: CODYCARES FOR KIDS, INC.

MEDICARE: CODYCARES FOR KIDS, 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
1251S00000XCommunity/Behavioral Health Agency2517NY

General Provider Information

NPI Number : 1356758478
Entity Type Code : Organization
Provider Name (Legal Business Name) : CODYCARES FOR KIDS, INC.
Provider Business Mailing Address
First Line : 1692 E 45TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3622
Country : US
Telephone Number : 718-758-1090
Fax Number :
Provider Business Practice Location Address
First Line : 1692 E 45TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3622
Country : US
Telephone Number : 718-758-1090
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE DIRECTOR
Name : DR. JACKIE JACKIE CODY
Credential : ED.D.; MS ED; ADV
Telephone Number : 718-758-1090
Provider Enumeration Date : 07/21/2014
Last Update Date : 07/21/2014

Similar Medicare Providers

1790192854 — DR. JACKIE CODY ED.D.; MS. ED.; ADV
Practice Location Address:
1692 E 45TH ST
BROOKLYN, NY
11234-3622
Practice Phone: 718-758-1090
Practice Fax:
1154474088 — LINA ZHITNIK OTR
Practice Location Address:
2610 E 18TH ST , SUITE 4
BROOKLYN, NY
11235-3622
Practice Phone: 718-332-0080
Practice Fax: 718-332-3365
1124172184 — PAUL SHANSKI
Practice Location Address:
2610 E 18TH ST
BROOKLYN, NY
11235-3622
Practice Phone: 718-332-0080
Practice Fax: 718-332-3365
1891999447 — LARISA ROZMAN
Practice Location Address:
2610 E 18TH ST , SUITE 4
BROOKLYN, NY
11235-3622
Practice Phone: 718-332-0080
Practice Fax: 718-332-3365
1649474297 — MARINA RAYTSINA M.S.
Practice Location Address:
2610 E 18TH ST , SUITE 4
BROOKLYN, NY
11235-3622
Practice Phone: 718-332-0080
Practice Fax: 718-332-3365
1760687578 — VICTORYA FOGEL M.S., L.N.S.
Practice Location Address:
2610 E 18TH ST , SUITE 4
BROOKLYN, NY
11235-3622
Practice Phone: 718-332-0080
Practice Fax: 718-332-3365

Directions to “CODYCARES FOR KIDS, INC. ” Practice Location

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