# BATH AVE CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770122780
- **Authorized official:** REZK ZYADA PT (PROGRAME DIRECTOR)
- **Authorized official phone:** (347) 255-0761

## Contact information

- **Practice address:** 8755 17TH AVE APT 2, BROOKLYN, NY 11214-4885
- **Practice address phone:** (347) 255-0761
- **Mailing address:** 8755 17TH AVE APT 2, BROOKLYN, NY 11214-4885
- **Mailing address phone:** (347) 255-0761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2019
- **Last updated:** 12/23/2019