Organization
FRIIICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE FERGUSON RN (CEO)
(347) 703-4244
Entity
Organization
Contact information
Practice address
1213 E 49TH ST, BROOKLYN, NY 11234-1512
(347) 703-4244
Mailing address
1213 E 49TH ST, BROOKLYN, NY 11234-1512
(347) 703-4244
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
593610
NY
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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