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NPI Code Detail

MEDICARE: BROOKLYN PSYCHIATRIC CENTERS, INC

MEDICARE: BROOKLYN PSYCHIATRIC CENTERS, INC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467545582
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOKLYN PSYCHIATRIC CENTERS, INC
Provider Business Mailing Address
First Line : 189 MONTAGUE ST
Second Line : SUITE 418
City : BROOKLYN
State : NY
Zip : 11201-3610
Country : US
Telephone Number : 718-875-5625
Fax Number : 718-875-6876
Provider Business Practice Location Address
First Line : 819 GRAND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-5001
Country : US
Telephone Number : 718-388-5176
Fax Number : 718-388-6159
Authorized Official
Title or Position : PRESIDENT/CEO
Name : PAMELA STRAKER
Credential : PH.D.
Telephone Number : 718-875-5625
Provider Enumeration Date : 10/02/2006
Last Update Date : 11/15/2007

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Directions to “BROOKLYN PSYCHIATRIC CENTERS, INC ” Practice Location

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