MEDICARE: MEDICAL STRESS RELIEF, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL STRESS RELIEF, P.C.

Provider Business Mailing Address
First Line	:	MEDICAL STRESS RELIEF, P.C.
Second Line	:	3101 OCEAN PARKWAY, SUITE 1A
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	718-946-2481
Fax Number	:	718-266-5346

Provider Business Practice Location Address
First Line	:	MEDICAL STRESS RELIEF, P.C.
Second Line	:	3101 OCEAN PARKWAY, SUITE 1A
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	718-946-2481
Fax Number	:	718-266-5346

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VALENTIN BRAGIN
Credential	:	M.D.
Telephone Number	:	718-946-2481

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	02/17/2009

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