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Find providers by NPI
Organization

STATE OF NEW YORK

Active
Parent organization
STATE OF NEW YORK
Other names
Brooklyn DC T shirtz #1 ICF
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF NEW YORK
Authorized official
KARLA SMITH (PRINCIPAL ACCOUNT CLERK)
(518) 402-4333
Entity
Organization

Contact information

Practice address
960 ELTON ST, BROOKLYN, NY 11208-5418
(518) 402-4333
Mailing address
44 HOLLAND AVE, ALBANY, NY 12229-0001
(518) 402-4333

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
00235629
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00945446
NY
Enumeration date
02/07/2007
Last updated
06/26/2008
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