OrganizationActive
6677 Broadway LLC
NPI 1063010767 · Home Health Agency · Rockaway Park, NY
Provider details
- NPI number
- 1063010767
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Angela Borukhova, Office Manager(718) 938-7183
Specialties & taxonomies
Agencies
Practice location
140 Beach 119th St
Rockaway Park, NY 11694-1953
Phone: (718) 938-7183
Approximate (ZIP-level) locationGet directions
Mailing address
4718 18th Ave Ste 26
Brooklyn, NY 11204-1260
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2020-10-14
- Certified
- 2020-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.