Organization
KINGSBROOK JEWISH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RADMILA CHAIMOV (OTA/L)
(347) 492-5292
Entity
Organization
Contact information
Practice address
1820 E 19TH ST APT 1FL, BROOKLYN, NY 11229-3559
(305) 934-5866
Mailing address
1820 E 19TH ST APT 1, BROOKLYN, NY 11229-3559
(305) 934-5866
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
007734-1
NY
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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