Organization
MENORAH HOME AND HOSPITAL ADULT DAY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BALKO (SENIOR VP CFO)
(718) 491-7221
Entity
Organization
Contact information
Practice address
1516 ORIENTAL BLVD, BROOKLYN, NY 11235-2328
(718) 646-4441
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
7001372N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03153688
—
NY
Enumeration date
10/08/2009
Last updated
10/29/2009
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