Organization
ST. NICHOLAS HUMAN SUPPORT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ROCHFORD (EXECUTIVE DIRECTOR)
(718) 388-5522
Entity
Organization
Contact information
Practice address
11 CATHERINE ST, 3RD FLOOR, BROOKLYN, NY 11211-2706
(718) 388-5522
(718) 388-0476
Mailing address
11 CATHERINE ST, 3RD FLOOR, BROOKLYN, NY 11211-2706
(718) 388-5522
(718) 388-0476
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0899L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00925228
—
NY
Enumeration date
03/02/2007
Last updated
08/22/2020
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