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NPI Code Detail

MEDICARE: WOMEN'S LEAGUE COMMUNITY RESIDENCES, INC.

MEDICARE: WOMEN'S LEAGUE COMMUNITY RESIDENCES, 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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1861646580
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S LEAGUE COMMUNITY RESIDENCES, INC.
Provider Business Mailing Address
First Line : 1400 CONEY ISLAND AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230
Country : US
Telephone Number : 718-853-0900
Fax Number : 718-853-0818
Provider Business Practice Location Address
First Line : 2294 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3810
Country : US
Telephone Number : 347-390-1210
Fax Number : 718-853-4570
Authorized Official
Title or Position : CEO
Name : MR. BRIAN SEEWALD
Credential :
Telephone Number : 718-853-0900
Provider Enumeration Date : 11/07/2008
Last Update Date : 08/12/2025

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Directions to “WOMEN'S LEAGUE COMMUNITY RESIDENCES, INC. ” Practice Location

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