Organization
FIVE BOROUGH HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURI ROZENBLYUM (ADMINISTRATOR)
(718) 758-5670
Entity
Organization
Contact information
Practice address
1893 CONEY ISLAND AVE, BROOKLYN, NY 11230-6512
(718) 758-5670
(866) 270-0585
Mailing address
1893 CONEY ISLAND AVE, BROOKLYN, NY 11230-6512
(718) 758-5670
(866) 270-0585
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1668L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1668L001
LHCSA
NY
Enumeration date
07/13/2015
Last updated
07/13/2015
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