Organization
LIGHT 101, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER MARGULIS MPH (ADMINISTRATOR)
(718) 676-9181
Entity
Organization
Contact information
Practice address
1954 78TH ST, 2ND FLOOR, BROOKLYN, NY 11214-1212
(718) 676-9181
(718) 676-9180
Mailing address
2528 E 17TH ST, APT 3C, BROOKLYN, NY 11235-3516
(718) 676-9181
(718) 676-9180
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1974L001
NY
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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