Provider Demographics
NPI:1508696501
Name:EIGHTY 8TH INC
Entity type:Organization
Organization Name:EIGHTY 8TH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DR MARIE
Authorized Official - Middle Name:GUERLINE
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-636-4005
Mailing Address - Street 1:1817 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4854
Mailing Address - Country:US
Mailing Address - Phone:914-488-6538
Mailing Address - Fax:
Practice Address - Street 1:1817 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4854
Practice Address - Country:US
Practice Address - Phone:914-488-6538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility