Organization
SHOREFRONT JEWISH GERIATRIC DBA MJGC HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BALKO (SR. VP CHIEF FINANCIAL OFFICER)
(718) 491-7221
Entity
Organization
Contact information
Practice address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 491-7221
(718) 759-4555
Mailing address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 491-7221
(718) 759-4555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5902610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01049729
—
NY
Enumeration date
07/17/2007
Last updated
07/17/2007
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