Organization
NY FOUNDLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMISHA JACKSON (TFCO PROGRAM SUPERVISOR)
(917) 485-7474
Entity
Organization
Contact information
Practice address
180 LIVINGSTON ST FL 3, BROOKLYN, NY 11201-5861
(718) 237-9700
Mailing address
180 LIVINGSTON ST FL 3, BROOKLYN, NY 11201-5861
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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