Organization
CITY WIDE HEALTH FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY REZNIK (ADMINISTRATOR)
(718) 621-1811
Entity
Organization
Contact information
Practice address
201 KINGS HWY, BROOKLYN, NY 11223-1106
(718) 621-1811
(718) 837-1274
Mailing address
201 KINGS HWY, BROOKLYN, NY 11223-1106
(718) 621-1811
(718) 837-1274
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
7001103R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02279954
—
NY
Enumeration date
07/16/2006
Last updated
08/20/2015
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