Organization
HEARTSHARE HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GOODWIN (PROGRAM DIRECTOR)
(718) 372-0580
Entity
Organization
Contact information
Practice address
2865 W 19TH ST, BROOKLYN, NY 11224-2513
(718) 372-0580
Mailing address
2865 W 19TH ST, BROOKLYN, NY 11224-2513
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R48
MISN
NY
Enumeration date
05/02/2007
Last updated
07/21/2022
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