Organization
IRVINGTON HEALTHCARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAVIE KATZ (BILLING MANAGER)
(718) 567-0400
Entity
Organization
Contact information
Practice address
170 53RD ST, BROOKLYN, NY 11232-4316
(718) 567-0400
Mailing address
155 40TH ST, IRVINGTON, NJ 07111-1184
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89833704
—
NJ
Enumeration date
07/31/2008
Last updated
07/31/2008
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