| Codycares | |
|
1692 E 45th St Brooklyn NY 11234-3622 | |
| (718) 758-1090 | |
| Not Available |
| Full Name | Codycares |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1692 E 45th St, Brooklyn, New York |
| Authorized Official Name and Position | Jackie Jackie Cody (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7187581090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codycares 1692 E 45th St Brooklyn NY 11234-3622 Ph: (718) 758-1090 | Codycares 1692 E 45th St Brooklyn NY 11234-3622 Ph: (718) 758-1090 |
| NPI Number | 1356758478 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356758478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2517 (New York) | Primary |
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