Provider Demographics
NPI:1679631261
Name:ADVOCATES FOR SERVICES FOR THE BLIND MULITHANDICAPPED, INC
Entity Type:Organization
Organization Name:ADVOCATES FOR SERVICES FOR THE BLIND MULITHANDICAPPED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-934-2592
Mailing Address - Street 1:3106 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6400
Mailing Address - Country:US
Mailing Address - Phone:718-934-2592
Mailing Address - Fax:718-934-2669
Practice Address - Street 1:6240 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1010
Practice Address - Country:US
Practice Address - Phone:718-601-6620
Practice Address - Fax:718-884-8574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities