| Northernstar Youth Initiative | |
|
964 Rutland Rd Brooklyn NY 11212-1544 | |
| (347) 651-6366 | |
| Not Available |
| Full Name | Northernstar Youth Initiative |
|---|---|
| Speciality | Case Management |
| Location | 964 Rutland Rd, Brooklyn, New York |
| Authorized Official Name and Position | Anthony Brewer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3476516366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northernstar Youth Initiative 71 Pilling St Brooklyn NY 11207-1608 Ph: (347) 651-6366 | Northernstar Youth Initiative 964 Rutland Rd Brooklyn NY 11212-1544 Ph: (347) 651-6366 |
| NPI Number | 1639695042 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639695042 | NPI | - | NPPES |
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