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NPI 1033360870 - Case Management - 251B00000X

NPI Details
NPI 1033360870
Enumeration Date 10/09/2008
Last Updated 10/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RACHEL RACHEL
Position SUPERVISOR
Phone (718) 676-4280
Fax
Practice Location
2020 CONEY ISLAND AVE
1007 QUENTIN RD
BROOKLYN NY, 11223-2329, US
Phone (718) 676-4280
Fax
Business Location
2020 CONEY ISLAND AVE
1007 QUENTIN RD
BROOKLYN NY, 11223-2329, US
Phone (718) 676-4280
Fax
Toxanomy
Taxonomy Code 251B00000X
License State New York
License Number 073324
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According to our database, Break Free NPI is 1033360870, taxonomy code is 251B00000X and license number is 073324, license state is located at New York. Break Free physically located at 2020 Coney Island Ave, Brooklyn NY, 11223-2329. NPI Number 1033115704 has the healthcare provider type.

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1033360870 NPI number is provided on an as is basis without warranty of any kind. 1033360870 is maintained by the National Plan & Provider Enumeration System. The contents of Break Free are for informational purposes only.