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Organization

DYNAMIC CARE ASSOCIATE LLC.

Active
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Organization

DYNAMIC CARE ASSOCIATE LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REZIA YOSHIKA LUKE SLP-CCC (OWNER/SPEECH LANGAUAGE PATHOLOGIST)
(718) 986-9306
Entity
Organization

Contact information

Practice address
1479 PROSPECT PL, STE 2, BROOKLYN, NY 11213-2490
(718) 986-9306
(877) 585-0047
Mailing address
1479 PROSPECT PL, STE 2, BROOKLYN, NY 11213-2490
(718) 986-9306
(877) 585-0047

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0233701
NY
251C00000X
Developmentally Disabled Services Day Training Agency
0233701
NY
251S00000X
Community/Behavioral Health Agency
0233701
NY
310400000X
Assisted Living Facility
0233701
NY
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
0233701
NY
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
0233701
NY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0233701
NY

Other

Enumeration date
08/01/2014
Last updated
08/01/2014
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