Organization · Type 2 NPI

Laridian Koinonia

Lodging Provider · Brooklyn, NY

NPI number 1710509799 Active

Practice location

8115 5th Ave
Brooklyn, NY 11209-4102

Mailing address

3050 Perry Ave Apt 3D
Bronx, NY 10467-4130

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Lodging Provider Primary 177F00000XNone listed

Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Another provider at this address

About NPI 1710509799

Laridian Koinonia's National Provider Identifier is 1710509799, issued on May 12, 2020. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Brooklyn, NY. The record was last updated on May 12, 2020.