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Organization

PRIME RIV

Active
Other names
Brooklyn Kitchen
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY MARTIN JANSEN (DIRECTOR)
(610) 283-8706
Entity
Organization

Contact information

Practice address
2780 STILLWELL AVE, BROOKLYN, NY 11224-2722
(718) 371-0025
Mailing address
2780 STILLWELL AVE, BROOKLYN, NY 11224-2722
(610) 283-8706

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary

Other

Enumeration date
03/11/2024
Last updated
04/19/2024
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