Provider Demographics
NPI:1538513734
Name:NOVEL HOME HEALTH CARE SERVICES OF NEW YORK CORP.
Entity Type:Organization
Organization Name:NOVEL HOME HEALTH CARE SERVICES OF NEW YORK CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:DADASHEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-763-1012
Mailing Address - Street 1:247 PROSPECT AVE
Mailing Address - Street 2:3 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-8451
Mailing Address - Country:US
Mailing Address - Phone:347-763-1012
Mailing Address - Fax:
Practice Address - Street 1:247 PROSPECT AVE
Practice Address - Street 2:3 FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-8451
Practice Address - Country:US
Practice Address - Phone:347-763-1012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health