Provider Demographics
NPI:1053875187
Name:DARACARE INC
Entity type:Organization
Organization Name:DARACARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OLUSEYI
Authorized Official - Middle Name:
Authorized Official - Last Name:OBADINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-413-9813
Mailing Address - Street 1:202 NEW LOTS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-6528
Mailing Address - Country:US
Mailing Address - Phone:718-569-2330
Mailing Address - Fax:877-674-8022
Practice Address - Street 1:202 NEW LOTS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-6528
Practice Address - Country:US
Practice Address - Phone:718-569-2330
Practice Address - Fax:877-674-8022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty