Organization
WEST BRIGHTON HOME CARE SERVICES AGENCY , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVI LUSTIG (ADMINISTRATOR)
(718) 720-9600
Entity
Organization
Contact information
Practice address
797 BRIGHTON AVE, STATEN ISLAND, NY 10301-2736
(718) 720-9600
(718) 816-5356
Mailing address
797 BRIGHTON AVENUE, STATEN ISLAND, NY 10301
(718) 720-9600
(718) 816-5356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9980L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9980L001
DEPARTMENT OF HEALTH LICENSE - HOME CARE SERVICE AGENCY
NY
Enumeration date
01/20/2015
Last updated
01/20/2015
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