Provider Demographics
NPI:1740454867
Name:BEDFORD HAITIAN COMMUNITY CENTER
Entity type:Organization
Organization Name:BEDFORD HAITIAN COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:I
Authorized Official - Last Name:DORMEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-756-0600
Mailing Address - Street 1:229 ROGERS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-1478
Mailing Address - Country:US
Mailing Address - Phone:718-756-0600
Mailing Address - Fax:
Practice Address - Street 1:229 ROGERS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-1478
Practice Address - Country:US
Practice Address - Phone:718-756-0600
Practice Address - Fax:718-771-6597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management