MEDICARE: VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES INC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1790616928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOCATIONAL INSTRUCTION PROJECT COMMUNITY SERVICES INC

Provider Business Mailing Address
First Line	:	1807 CLINTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-6747
Country	:	US
Telephone Number	:	718-466-8903
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 CLINTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-6747
Country	:	US
Telephone Number	:	718-466-8903
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEBBIAN FLETCHER-BLAKE
Credential	:	NP
Telephone Number	:	718-583-5150

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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