MEDICARE: GLOBAL TRAUMA RESEARCH 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1619495512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL TRAUMA RESEARCH INC.

Provider Business Mailing Address
First Line	:	2329 NOSTRAND AVE STE 100
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3949
Country	:	US
Telephone Number	:	800-461-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	2329 NOSTRAND AVE STE 100
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3949
Country	:	US
Telephone Number	:	800-461-9350
Fax Number	:	800-461-9350

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. FLORENCE SAINT-JEAN
Credential	:	PHD
Telephone Number	:	800-461-9350

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	02/06/2020

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