MEDICARE: BROOKLYN PSYCHOLOGICAL SERVICES PLLC

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1972303865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKLYN PSYCHOLOGICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	202 FOSTER AVE STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2130
Country	:	US
Telephone Number	:	917-414-8676
Fax Number	:	718-387-6429

Provider Business Practice Location Address
First Line	:	202 FOSTER AVE STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2130
Country	:	US
Telephone Number	:	917-414-8676
Fax Number	:	718-387-6429

Authorized Official
Title or Position	:	PHD
Name	:	RON FINKELSTEIN
Credential	:
Telephone Number	:	917-414-8676

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	04/01/2025

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