Organization
CANARSIE AWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY CORNACHIO (EXECUTIVE DIRECTOR)
(718) 257-3195
Entity
Organization
Contact information
Practice address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(718) 257-3195
(718) 257-1162
Mailing address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(718) 257-3195
(718) 257-1162
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
655262-1
NY
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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