Provider Demographics
NPI:1598142275
Name:DRB SERVICES
Entity Type:Organization
Organization Name:DRB SERVICES
Other - Org Name:SUZE
Other - Org Type:Other Name
Authorized Official - Title/Position:OTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERISIER
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:1718-344-1119
Mailing Address - Street 1:1537 E 57TH ST
Mailing Address - Street 2:1537 EAST 57 STREET
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4024
Mailing Address - Country:US
Mailing Address - Phone:171-834-4111
Mailing Address - Fax:
Practice Address - Street 1:1537 EAST 57 STREET
Practice Address - Street 2:1537 EAST 57 STREET
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234
Practice Address - Country:US
Practice Address - Phone:171-834-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007005-1320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities