1780847467 NPI number — BUILDERS FOR THE FAMILY AND YOUTH DIOCESE OF BROOKLYN INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780847467 NPI number — BUILDERS FOR THE FAMILY AND YOUTH DIOCESE OF BROOKLYN INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUILDERS FOR THE FAMILY AND YOUTH DIOCESE OF BROOKLYN INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780847467
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
191 JORALEMON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11201-4306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-722-6000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25 CHAPEL ST
Provider Second Line Business Practice Location Address:
SUITE 901
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11201-1952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-398-0153
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
CORRADO
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
718-722-6123

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 171M00000X . This is a "CASE MANAGER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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