Healthcare Provider Details

I. General information

NPI: 1295984847
Provider Name (Legal Business Name): NINA LAING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 09/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FLATBUSH AVENUE BROOKLYN CENTER FOR PSYCHOTHERAPY
BROOKLYN NY
11217
US

IV. Provider business mailing address

300 FLATBUSH AVENUE BROOKLYN CENTER FOR PSYCHOTHERAPY
BROOKLYN NY
11217
US

V. Phone/Fax

Practice location:
  • Phone: 718-622-2000
  • Fax: 718-398-3328
Mailing address:
  • Phone: 718-622-2000
  • Fax: 718-398-3328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: