Organization
EAGLE EYE FV, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATA KHAVIN (PRESIDENT)
(718) 864-0977
Entity
Organization
Contact information
Practice address
104 W END AVE, BROOKLYN, NY 11235-4952
(718) 332-1119
(718) 332-1139
Mailing address
104 W END AVE, BROOKLYN, NY 11235-4952
(718) 332-1119
(718) 332-1139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
NY
Other
Enumeration date
01/18/2016
Last updated
12/02/2022
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