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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEON BER (PRESIDENT)
(718) 891-0080
Entity
Organization

Contact information

Practice address
1506 SHEEPSHEAD BAY RD FL 2, BROOKLYN, NY 11235-3818
(718) 891-0080
Mailing address
1506 SHEEPSHEAD BAY RD FL 2, BROOKLYN, NY 11235-3818
(718) 891-0080

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1059L001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04175444
NY
Enumeration date
10/14/2010
Last updated
11/23/2016
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