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NPI Code Detail

MEDICARE: NEW YORK CHILD RESOURCE CENTER

MEDICARE: NEW YORK CHILD RESOURCE CENTER
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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1558622357
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK CHILD RESOURCE CENTER
Provider Business Mailing Address
First Line : 706 QUINCY ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-2210
Country : US
Telephone Number : 718-443-3440
Fax Number :
Provider Business Practice Location Address
First Line : 706 QUINCY ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-2210
Country : US
Telephone Number : 718-443-3440
Fax Number :
Authorized Official
Title or Position : SERVICE COORDINATOR
Name : MISS SASHA ROSADO
Credential :
Telephone Number : 718-443-3440
Provider Enumeration Date : 06/07/2012
Last Update Date : 06/07/2012

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Directions to “NEW YORK CHILD RESOURCE CENTER ” Practice Location

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