Healthcare Provider Details

I. General information

NPI: 1578390480
Provider Name (Legal Business Name): BERNY GARCIA PINTO PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 S 4TH ST UNIT 110014
BROOKLYN NY
11211-6783
US

IV. Provider business mailing address

263 S 4TH ST # 110014
BROOKLYN NY
11211-9997
US

V. Phone/Fax

Practice location:
  • Phone: 347-586-3800
  • Fax:
Mailing address:
  • Phone: 347-586-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: