Healthcare Provider Details

I. General information

NPI: 1780063396
Provider Name (Legal Business Name): BROOKLYN CONSERVATORY OF MUSIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 SEVENTH AVE
BROOKLYN NY
11217
US

IV. Provider business mailing address

58 SEVENTH AVE
BROOKLYN NY
11217
US

V. Phone/Fax

Practice location:
  • Phone: 718-622-3300
  • Fax: 718-622-3957
Mailing address:
  • Phone: 718-622-3300
  • Fax: 718-622-3957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name: MS. KAREN LYNN GEER
Title or Position: EXEC. DIRECTOR
Credential: ESQ.
Phone: 718-622-3300