LARIDIAN KOINONIA NPI 1710509799

NPI Information

LARIDIAN KOINONIA is a lodging in Brooklyn, NY. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. LARIDIAN KOINONIA NPI is 1710509799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8115 5TH AVE
BROOKLYN, NY
ZIP 11209-102
Phone: (718) 218-4442

The provider's authorized official is Jason Calderon .
The authorized official title is President and has the following contact phone number (505) 203-7689.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 5/12/2020.

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:

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