MEDICARE: NEW YORK SERVICE NETWORK

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	251J00000X	Nursing Care Agency	667753	NY

General Provider Information

NPI Number	:	1679985220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YORK SERVICE NETWORK

Provider Business Mailing Address
First Line	:	2424 E 24TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2513
Country	:	US
Telephone Number	:	347-276-8880
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 E 24TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2513
Country	:	US
Telephone Number	:	347-276-8880
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. LAZAR FEYGIN
Credential	:	MD
Telephone Number	:	718-666-1009

Provider Enumeration Date	:	05/29/2014
Last Update Date	:	05/29/2014

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Directions to “NEW YORK SERVICE NETWORK ” Practice Location

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