Provider Demographics
NPI:1679985220
Name:NEW YORK SERVICE NETWORK
Entity Type:Organization
Organization Name:NEW YORK SERVICE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAZAR
Authorized Official - Middle Name:
Authorized Official - Last Name:FEYGIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-666-1009
Mailing Address - Street 1:2424 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2513
Mailing Address - Country:US
Mailing Address - Phone:347-276-8880
Mailing Address - Fax:
Practice Address - Street 1:2424 E 24TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2513
Practice Address - Country:US
Practice Address - Phone:347-276-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY667753251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care