MEDICARE: CHAR CHAMPION THERAPY

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	252Y00000X	Early Intervention Provider Agency	1248105	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	528649	OTHER	NY	NYS DEPARTMENT OF HEALTH BUREAU OF EARLY INTERVENTION

General Provider Information

NPI Number	:	1497115836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAR CHAMPION THERAPY

Provider Business Mailing Address
First Line	:	351 MARINE AVE
Second Line	:	17C
City	:	BROOKLYN
State	:	NY
Zip	:	11209-8055
Country	:	US
Telephone Number	:	212-810-7578
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 MARINE AVE
Second Line	:	17C
City	:	BROOKLYN
State	:	NY
Zip	:	11209-8055
Country	:	US
Telephone Number	:	212-810-7578
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LYUBOV CHAR
Credential	:	M.S., ABA
Telephone Number	:	212-810-7578

Provider Enumeration Date	:	02/27/2016
Last Update Date	:	02/27/2016

Similar Medicare Providers

1508498916 — HUY HUYNH PA-C
Practice Location Address:

366 KNICKERBOCKER AVE
BROOKLYN, NY
11237-8055

Practice Phone: 646-604-8160
Practice Fax:

1225627649 — JENNIFER PRISCILLA JOSEPH
Practice Location Address:

219 SACKMAN ST APT 4E
BROOKLYN, NY
11212-8055

Practice Phone: 646-541-8053
Practice Fax:

1881558500 — STATE SOCIAL ADULT DAYCARE INC
Practice Location Address:

2935 OCEAN PKWY
BROOKLYN, NY
11235-8055

Practice Phone: 917-519-1151
Practice Fax:

1285569053 — KETEVAN APKHAZAVA
Practice Location Address:

380 92ND ST APT C5
BROOKLYN, NY
11209-6359

Practice Phone: 571-639-7049
Practice Fax:

1316171952 — WALGREEN CO
Practice Location Address:

9408 3RD AVE
BROOKLYN, NY
11209-6804

Practice Phone: 718-748-1673
Practice Fax: 718-748-1760

1649105172 — OMNIA-CARDIOVASCULAR PLLC
Practice Location Address:

7404 5TH AVE
BROOKLYN, NY
11209-2704

Practice Phone: 929-999-5709
Practice Fax:

Directions to “CHAR CHAMPION THERAPY ” 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 © 2007-2026 (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.