MEDICARE: JOEL DRUMMER

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	101YM0800X	Mental Health Counselor		NY
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1417731134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL DRUMMER

Provider Business Mailing Address
First Line	:	146 SPENCER ST STE 5012
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-5627
Country	:	US
Telephone Number	:	917-676-6022
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 SPENCER ST STE 5012
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-5627
Country	:	US
Telephone Number	:	917-676-6022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	02/11/2026

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Directions to “ JOEL DRUMMER ” Practice Location

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