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Organization

BROOKLYN ART INCUBATOR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. EDITH LANGFORD PHD, LMHC, CASAC (PROGRAM DIRECTOR)
(718) 208-0526
Entity
Organization

Contact information

Practice address
1311 PACIFIC ST APT 206, BROOKLYN, NY 11216-4591
(718) 208-0526
(347) 467-2634
Mailing address
PO BOX 20648, BROOKLYN, NY 11202-0648
(718) 208-0526

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/26/2017
Last updated
09/26/2017
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