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NPI Code Detail

MEDICARE: BLOCK INSTITUTE, INC.

MEDICARE: BLOCK INSTITUTE, 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
1261QD1600XDevelopmental Disabilities Clinic/Center6143100NY

Other Identifiers

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

General Provider Information

NPI Number : 1386722346
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOCK INSTITUTE, INC.
Provider Business Mailing Address
First Line : 376 BAY 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-7103
Country : US
Telephone Number : 718-946-9700
Fax Number : 718-946-4665
Provider Business Practice Location Address
First Line : 2214 STILLWELL AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4250
Country : US
Telephone Number : 718-372-7227
Fax Number : 718-947-3264
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. SCOTT LANCE BARKIN
Credential :
Telephone Number : 718-906-5415
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/18/2023

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