THE THREE COPTIC BROTHERS CORP. - NPI NUMBER 1033533542

Summary

Provider Name: THE THREE COPTIC BROTHERS CORP.

NPI Number: 1033533542

Clasification: Clinic/Center (261QA0600X)

Specialization: Adult Day Care

Address:
2297 CONEY ISLAND AVE
BROOKLYN, NY
ZIP 11223

Phone Number: (718) 645-4500



Detailed Information

THE THREE COPTIC BROTHERS CORP. is an adult day care clinic/center in Brooklyn, NY. The assigned NPI number for this provider is 1033533542 and is registered as an organization entity type.

The provider's business address is:

2297 CONEY ISLAND AVE
BROOKLYN, NY
ZIP 11223-337
Phone: (718) 645-4500
Fax: (718) 645-4505

The provider's authorized official is Saleh Nasef .
The authorized official title is Director and has the following contact phone number (718) 645-4500.

The enumeration date for this NPI number is 2/5/2014 and was last updated on 2/5/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QA0600X Clinic/Center Adult Day Care Yes

NPI Record

No. Field Name Field Value
1 NPI 1033533542
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name THE THREE COPTIC BROTHERS CORP.
5 Provider First Line Business Practice Location Address 2297 CONEY ISLAND AVE
6 Provider Business Practice Location Address City Name BROOKLYN
7 Provider Business Practice Location Address State Name NY
8 Provider Business Practice Location Address Postal Code 112233337
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 7186454500
11 Provider Business Practice Location Address Fax Number 7186454505
12 Provider Enumeration Date 2/5/2014
13 Last Update Date 2/5/2014
14 Authorized Official Last Name NASEF
15 Authorized Official First Name SALEH
16 Authorized Official Title or Position DIRECTOR
17 Authorized Official Telephone Number 7186454500
18 Healthcare Provider Taxonomy Code 1 261QA0600X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N
21 Authorized Official Credential Text MLSW

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.