Organization
HEARTSHAREWELLNESS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE ALEXANDRE (CLINIC DIRECTOR)
(718) 855-7707
Entity
Organization
Contact information
Practice address
177 LIVINGSTON STREET, LOWER LEVEL, BROOKLYN, NY 11201-4859
(718) 855-7707
(718) 855-7717
Mailing address
177 LIVINGSTON STREET, LOWER LEVEL, BROOKLYN, NY 11201-4859
(718) 855-7707
(718) 855-7717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
007089-1
NY
103T00000X
Psychologist
Primary
009398-3
NY
103T00000X
Psychologist
014362-1
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
011875-1
NY
207R00000X
Internal Medicine Physician
163890-1
NY
2084P0800X
Psychiatry Physician
082372-1
NY
2084P0800X
Psychiatry Physician
127961-1
NY
2084P0800X
Psychiatry Physician
205290-1
NY
213E00000X
Podiatrist
N003927-1
NY
225100000X
Physical Therapist
012668-1
NY
225100000X
Physical Therapist
016801-1
NY
225X00000X
Occupational Therapist
010626-1
NY
231H00000X
Audiologist
000959-1
NY
363A00000X
Physician Assistant
000577-1
NY
363L00000X
Nurse Practitioner
F381397-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02087016
—
NY
01
—
W39641
MEDICARE PTAN
NY
Enumeration date
05/22/2006
Last updated
08/14/2015
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