Organization
NEW YORK SERVICE NETWORK
Active
Organization
NEW YORK SERVICE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE WARREN BPS, CASAC (PROGRAM DIRECTOR)
(718) 666-1009
Entity
Organization
Contact information
Practice address
198 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2133
(718) 666-1009
(718) 666-4045
Mailing address
198 FOSTER AVE, SUITE D, BROOKLYN, NY 11230-2133
(718) 666-1009
(718) 666-4045
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
19202
NY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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