6677 Broadway LLC
NPI #1063010767 in Rockaway Park, New York
Provider Information
- NPI Number
- 1063010767
- Entity Type
- Organization
- Organization Name
- 6677 Broadway LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Oct 14, 2020
Practice Location
- Address
- 140 BEACH 119TH ST
- City
- Rockaway Park
- State
- New York
- ZIP Code
- 11694-1953
- Phone
- (718) 938-7183
Authorized Official
- Name
- ANGELA BORUKHOVA
- Title
- OFFICE MANAGER
- Phone
- (718) 938-7183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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