Provider Demographics
NPI:1700120888
Name:HAMASPIK OF KINGS COUNTY, INC.
Entity Type:Organization
Organization Name:HAMASPIK OF KINGS COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TZVI
Authorized Official - Middle Name:
Authorized Official - Last Name:WERTHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-387-8400
Mailing Address - Street 1:4102 14TH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-1401
Mailing Address - Country:US
Mailing Address - Phone:718-387-8400
Mailing Address - Fax:718-408-6106
Practice Address - Street 1:4102 14TH AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-1401
Practice Address - Country:US
Practice Address - Phone:718-387-8400
Practice Address - Fax:718-599-3261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171WH0202X, 252Y00000X, 261QM0801X, 261QM0850X, 261QM0855X
NY02004846251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health