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Organization

SHOREFRONT JEWISH GERIATRIC CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER BALKO (SR.VP/CHIEF FINANCIAL OFFICER)
(718) 491-7221
Entity
Organization

Contact information

Practice address
6405 7TH AVE, BROOKLYN, NY 11220-4731
(718) 921-7968
(718) 759-4049
Mailing address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 630-2510
(718) 759-4291

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5902610
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00891474
NY
Enumeration date
07/05/2006
Last updated
05/05/2010
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