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1063010767
6677 BROADWAY LLC
ROCKAWAY PARK, NY
NPI
1063010767
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Entity Type
Organization
Authorized Contact
ANGELA BORUKHOVA
Office Manager
718-938-7183
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
6677 BROADWAY LLC
140 BEACH 119TH ST
ROCKAWAY PARK, NY 11694-1953
Phone number: 718-938-7183
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Mailing Address
6677 BROADWAY LLC
4718 18TH AVE STE 26
BROOKLYN, NY 11204-1260
Phone number: 718-938-7183
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