Organization
BLOCK INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG AXENFELD (CHIEF FINANCIAL OFFICER)
(718) 906-5440
Entity
Organization
Contact information
Practice address
376 BAY 44TH ST, BROOKLYN, NY 11214-7103
(718) 906-5440
Mailing address
376 BAY 44TH ST, BROOKLYN, NY 11214-7103
(718) 906-5440
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NY
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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