MEDICARE: MARY JOHN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851666077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY JOHN

Provider Business Mailing Address
First Line	:	4306 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3600
Country	:	US
Telephone Number	:	718-258-5450
Fax Number	:

Provider Business Practice Location Address
First Line	:	2233 NOSTRAND AVE
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3045
Country	:	US
Telephone Number	:	718-859-9760
Fax Number	:	718-859-9767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	03/21/2012

Similar Medicare Providers

1215212824 — MS. KARLENE NATHALIE WILSON
Practice Location Address:

2233 NOSTRAND AVE
BROOKLYN, NY
11210-3045

Practice Phone: 718-859-9760
Practice Fax: 718-859-9767

1417234956 — SENDY JOSEPH MSW
Practice Location Address:

2233 NOSTRAND AVE
BROOKLYN, NY
11210-3045

Practice Phone: 718-859-1260
Practice Fax:

1821358714 — CHRISTOPHER RIVERA LYNN-LOGUE
Practice Location Address:

2233 NOSTRAND AVE
BROOKLYN, NY
11210-3045

Practice Phone: 718-859-9760
Practice Fax:

1053671099 — JULIE MANTILLA HANSON
Practice Location Address:

2233 NOSTRAND AVE
BROOKLYN, NY
11210-3045

Practice Phone: 718-258-1714
Practice Fax:

1063776136 — MISS SHANIQUA T.C. SCHLOSS
Practice Location Address:

2233 NOSTRAND AVE , 2ND FLOOR
BROOKLYN, NY
11210-3045

Practice Phone: 718-258-1714
Practice Fax:

1639518640 — ANGELA WU CEN
Practice Location Address:

2233 NOSTRAND AVE , 3RD FLOOR
BROOKLYN, NY
11210-3045

Practice Phone: 718-258-1714
Practice Fax:

Directions to “ MARY JOHN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.