Organization
BLOCK INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M DOLD CPA (CONTROLLER)
(718) 906-5440
Entity
Organization
Contact information
Practice address
55 27TH AVE, BROOKLYN, NY 11214-5507
(718) 373-1828
(718) 946-6794
Mailing address
376 BAY 44TH ST, BROOKLYN, NY 11214-7103
(718) 906-5400
(718) 946-4665
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7455463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01457923 03
—
NY
Enumeration date
11/28/2006
Last updated
08/22/2020
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