MEDICARE: MARIA-CHRISTINA BICHAY, LCSW

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	251S00000X	Community/Behavioral Health Agency	083991	NY

General Provider Information

NPI Number	:	1144699539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA-CHRISTINA BICHAY, LCSW

Provider Business Mailing Address
First Line	:	290 WILLOUGHBY AVE
Second Line	:	3L
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1448
Country	:	US
Telephone Number	:	517-285-3963
Fax Number	:

Provider Business Practice Location Address
First Line	:	153 ROEBLING ST
Second Line	:	SUITE 5
City	:	BROOKLYN
State	:	NY
Zip	:	11211-3363
Country	:	US
Telephone Number	:	517-285-3963
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST; PROVIDER
Name	:	MARIA-CHRISTINA S BICHAY
Credential	:	LCSW
Telephone Number	:	517-285-3963

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	09/16/2015

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