Organization
BIG HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR REZNIC (CEO)
(347) 542-4150
Entity
Organization
Contact information
Practice address
1302 KINGS HWY FL 3, BROOKLYN, NY 11229-1964
(917) 660-5896
(347) 542-4152
Mailing address
706 AVENUE U, BROOKLYN, NY 11223-4134
(347) 542-4150
(347) 542-4152
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1412L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04485810
—
NY
Enumeration date
08/28/2016
Last updated
10/27/2022
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