# CHAVRUSA MATCH

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

## Provider details

- **NPI number:** 1982353769
- **Authorized official:** SAMUEL GOLDSTEIN RABBI (PRESIDENT)
- **Authorized official phone:** (718) 614-5317

## Contact information

- **Practice address:** 287 DIVISION AVE APT 3D, BROOKLYN, NY 11211-7326
- **Practice address phone:** (718) 614-5317
- **Mailing address:** 287 DIVISION AVE APT 3D, BROOKLYN, NY 11211-7326
- **Mailing address phone:** (718) 614-5317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 03/29/2022