MEDICARE: SPECIAL CARE FOR FAMILIES AND CHILDRENS SERVICES

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
1	251B00000X	Case Management Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1477749943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL CARE FOR FAMILIES AND CHILDRENS SERVICES

Provider Business Mailing Address
First Line	:	1421 E 2ND ST
Second Line	:	BASEMENT
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5501
Country	:	US
Telephone Number	:	718-252-3365
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 E 2ND ST
Second Line	:	BASEMENT
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5501
Country	:	US
Telephone Number	:	718-252-3365
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MIRIAM KAUFMAN
Credential	:
Telephone Number	:	718-252-3365

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

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