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NPI Code Detail

MEDICARE: SPARX SUPPORT SERVICES

MEDICARE: SPARX SUPPORT 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
1171M00000XCase Manager/Care Coordinator
2251300000XLocal Education Agency (LEA)
3253Z00000XIn Home Supportive Care Agency
4251B00000XCase Management Agency

General Provider Information

NPI Number : 1598561771
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPARX SUPPORT SERVICES
Provider Business Mailing Address
First Line : 1135 57TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4522
Country : US
Telephone Number : 718-664-3097
Fax Number :
Provider Business Practice Location Address
First Line : 1063 63RD ST STE 5300
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5114
Country : US
Telephone Number : 212-301-7764
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. SHAYE SPITZER
Credential :
Telephone Number : 212-301-7764
Provider Enumeration Date : 02/20/2025
Last Update Date : 02/20/2025

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Directions to “SPARX SUPPORT SERVICES ” Practice Location

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