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NPI Code Detail

MEDICARE: CANARSIE CHILDHOOD CENTER

MEDICARE: CANARSIE CHILDHOOD 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
1251300000XLocal Education Agency (LEA)331800880087NY

General Provider Information

NPI Number : 1568791424
Entity Type Code : Organization
Provider Name (Legal Business Name) : CANARSIE CHILDHOOD CENTER
Provider Business Mailing Address
First Line : 1651 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3317
Country : US
Telephone Number : 718-241-9211
Fax Number : 718-241-9213
Provider Business Practice Location Address
First Line : 1651 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3317
Country : US
Telephone Number : 718-241-9211
Fax Number : 718-241-9213
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. ELIOT KIRSCHENBAUM
Credential :
Telephone Number : 718-241-9211
Provider Enumeration Date : 12/23/2009
Last Update Date : 12/23/2009

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Directions to “CANARSIE CHILDHOOD CENTER ” Practice Location

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