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NPI Code Detail

MEDICARE: BROOKLYN CENTER FOR PSYCHOTHERAPY,INC.

MEDICARE: BROOKLYN CENTER FOR PSYCHOTHERAPY,INC.
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6727100ANY

Other Identifiers

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

General Provider Information

NPI Number : 1275516213
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOKLYN CENTER FOR PSYCHOTHERAPY,INC.
Provider Business Mailing Address
First Line : 300 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2812
Country : US
Telephone Number : 718-622-2000
Fax Number : 718-398-3328
Provider Business Practice Location Address
First Line : 300 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2812
Country : US
Telephone Number : 718-622-2000
Fax Number : 718-398-3328
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MARK SALOMON
Credential :
Telephone Number : 718-862-2200
Provider Enumeration Date : 11/23/2005
Last Update Date : 05/14/2015

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1225053796 — DUANE READE
Practice Location Address:
296 FLATBUSH AVE
BROOKLYN, NY
11217-2812
Practice Phone: 718-399-2716
Practice Fax: 718-399-3225
1740351576 — CHERYL SILVER LCSW
Practice Location Address:
300 FLATBUSH AVE
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1730399684 — LEENA MORALES
Practice Location Address:
300 FLATBUSH AVE
BROOKLYN, NY
11217-2812
Practice Phone: 718-622-2000
Practice Fax:
1407066251 — MR. IOANIS PAPAVASSILIU M.A., LMHC
Practice Location Address:
300 FLATBUSH AVE
BROOKLYN, NY
11217-2812
Practice Phone: 718-622-2000
Practice Fax:
1396956033 — MS. MICHELE F SUDANO LCSW
Practice Location Address:
300 FLATBUSH AVE
BROOKLYN, NY
11217-2812
Practice Phone: 718-622-2000
Practice Fax:
1417168550 — MS. RAQUEL ARROYO L.C.S.W.
Practice Location Address:
300 FLATBUSH AVE
BROOKLYN, NY
11217-2812
Practice Phone: 718-622-2000
Practice Fax: 718-398-3328

Directions to “BROOKLYN CENTER FOR PSYCHOTHERAPY,INC. ” Practice Location

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