Organization
LIFE CARE TESTING. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HATEM AHMED (PRESIDENT)
(718) 564-3435
Entity
Organization
Contact information
Practice address
1887 SHORE PKWY, BROOKLYN, NY 11214-6620
(917) 292-5573
Mailing address
910 81ST ST, BROOKLYN, NY 11228-2851
(718) 564-3435
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962759845
—
NY
Enumeration date
02/12/2020
Last updated
02/12/2020
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