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Organization

DEPT OF EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA NANDAN (PRINCIPAL)
(718) 498-6560
Entity
Organization

Contact information

Practice address
1396 E 93RD ST, BROOKLYN, NY 11236-4802
(718) 649-2263
Mailing address
1396 EAST 93RD STREET, BROOKLYN, NY 11236
(718) 649-2263

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
22416773
NY

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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