Organization
CIDNY-INDEPENDENT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L BLOCK (MANAGING DIRECTOR)
(212) 254-5000
Entity
Organization
Contact information
Practice address
150 OCEAN PKWY, ROOM 101, BROOKLYN, NY 11218-2481
(212) 254-5000
(212) 460-9194
Mailing address
PO BOX 180032, BROOKLYN, NY 11218-0032
(212) 254-5000
(212) 460-9194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0637L002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00925306
—
NY
Enumeration date
10/31/2006
Last updated
05/11/2015
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