Organization
UCP OF NYC BROOKLYN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KELLY (ASSISTANT MEDICAL DIRECTOR)
(718) 436-7600
Entity
Organization
Contact information
Practice address
160 LAWRENCE AVE, BROOKLYN, NY 11230-1103
(718) 436-7600
Mailing address
160 LAWRENCE AVE, BROOKLYN, NY 11230-1103
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
163WP0200X
NY
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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