Healthcare Provider Details

I. General information

NPI: 1851228340
Provider Name (Legal Business Name): BRIAN ALEXANDER HACKEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 DUMONT AVE
BROOKLYN NY
11207-5017
US

IV. Provider business mailing address

460 EVERGREEN AVE APT 2
BROOKLYN NY
11221-4646
US

V. Phone/Fax

Practice location:
  • Phone: 718-385-4000
  • Fax:
Mailing address:
  • Phone: 914-980-1356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number38181
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: