Organization
BATH AVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZK ZYADA PT (PROGRAME DIRECTOR)
(347) 255-0761
Entity
Organization
Contact information
Practice address
8755 17TH AVE APT 2, BROOKLYN, NY 11214-4885
(347) 255-0761
Mailing address
8755 17TH AVE APT 2, BROOKLYN, NY 11214-4885
(347) 255-0761
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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