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Organization

MENORAH HOME AND HOSPITAL ADULT DAY PROGRAM

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
6202 16TH AVE # 12, BROOKLYN, NY 11204-2701
(718) 621-3600
(718) 621-1280
Mailing address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 630-2510
(718) 759-4555

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
7001376N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00399986
NY
Enumeration date
02/27/2007
Last updated
11/10/2014
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