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PROLIFIC HOME HEALTH ASSESSORS LLC NPI 1235762865


NPI Information

NPI: 1235762865
Provider Name: PROLIFIC HOME HEALTH ASSESSORS LLC

Doing Business As: PROLIFIC HOME HEALTH ASSESSORS LLC

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
796 SARATOGA AVE STE A
BROOKLYN, NY
ZIP 11212
Phone: (347) 365-9779
Get Directions

PROLIFIC HOME HEALTH ASSESSORS LLC is an addiction medicine family medicine in Brooklyn, NY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PROLIFIC HOME HEALTH ASSESSORS LLC NPI is 1235762865. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prolific Home Health Assessors Llc.

The provider's business location address is:

796 SARATOGA AVE STE A
BROOKLYN, NY
ZIP 11212-475
Phone: (347) 365-9779
Fax: (347) 365-4230

The provider's authorized official is Priscilla Nnenna Orji .
The authorized official title is Ceo and has the following contact phone number (347) 951-4301.

The enumeration date for this NPI number is 2/21/2020 and was last updated on 10/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105557268MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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