Organization
COMMUNITY CARE CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YEVGENIYA MAZUROVSKY LMSW (PRESIDENT)
(866) 765-1959
Entity
Organization
Contact information
Practice address
1318 GRAVESEND NECK RD, SUITE 205, BROOKLYN, NY 11229-4309
(866) 765-1959
(866) 531-0536
Mailing address
4 ARKANSAS AVE, STATEN ISLAND, NY 10308-1502
(917) 685-8084
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
078847
NY
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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