MEDICARE: ALL 4 COMMUNITY

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	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1558225854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL 4 COMMUNITY

Provider Business Mailing Address
First Line	:	2478 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5022
Country	:	US
Telephone Number	:	347-797-0210
Fax Number	:

Provider Business Practice Location Address
First Line	:	2478 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5022
Country	:	US
Telephone Number	:	247-797-0210
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RACHEL VATELMAN
Credential	:
Telephone Number	:	347-797-0210

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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