| Organization Name: | CARL FENICHEL COMMUNITY SERVICES |
| NPI Number: | 1003083767 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEON FISHMAN (COMPTROLLER) |
| Mailing Address: | 30 Washington St Brooklyn |
| State: | NY US |
| Postal Code: | 112018201 |
| Phone Number: | 7186435300 |
| Fax Number: | 7182372793 |
| NPI Enumeration Date: | 05/13/2008 |
| NPI Last Update Date: | 05/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |