Organization
PTS OF BROOKLYN LTHHCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIGAY LASKIN (CONTRACT MANAGER)
(718) 468-4747
Entity
Organization
Contact information
Practice address
3632 NOSTRAND AVE, BROOKLYN, NY 11229-5305
(718) 368-6250
(718) 368-6255
Mailing address
22215 NORTHERN BLVD, 3RD FLOOR, BAYSIDE, NY 11361-3603
(718) 468-4747
(718) 264-5834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7001915L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02942056
—
NY
Enumeration date
11/20/2007
Last updated
06/16/2015
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