Organization
CHAVRUSA MATCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOLDSTEIN RABBI (PRESIDENT)
(718) 614-5317
Entity
Organization
Contact information
Practice address
287 DIVISION AVE APT 3D, BROOKLYN, NY 11211-7326
(718) 614-5317
Mailing address
287 DIVISION AVE APT 3D, BROOKLYN, NY 11211-7326
(718) 614-5317
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/29/2022
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