Organization
CARL FENICHEL COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POLIZOES POLIZOS M.D. (MEDICAL DIRECTOR)
(718) 856-4300
Entity
Organization
Contact information
Practice address
885 ROGERS AVE, BROOKLYN, NY 11226-4113
(718) 856-4300
(718) 856-4581
Mailing address
885 ROGERS AVE, BROOKLYN, NY 11226-4113
(718) 856-4300
(718) 856-4581
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
098311-1
NY
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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