Organization
BOULEVARD ALP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD NEUFELD MSW (ADMINISTRATOR)
(718) 969-7500
Entity
Organization
Contact information
Practice address
7161 159TH ST, FLUSHING, NY 11365-4123
(718) 969-7500
(718) 969-8128
Mailing address
7161 159TH ST, FLUSHING, NY 11365-4123
(718) 969-7500
(718) 969-8128
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9448L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632451
—
NY
Enumeration date
07/27/2007
Last updated
07/27/2007
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