Organization
THOMAS JEFFERSON ALP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE M. BERGER (ADMINISTRATOR)
(718) 649-0700
Entity
Organization
Contact information
Practice address
650 E 104TH ST, BROOKLYN, NY 11236-2504
(718) 649-0700
(718) 649-4441
Mailing address
650 E 104TH ST, BROOKLYN, NY 11236-2504
(718) 649-0700
(718) 649-4441
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
331-F-056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-452079
—
NY
Enumeration date
01/01/2007
Last updated
08/25/2008
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