MEDICARE: NEW HOPE PSYCHIATRY, P.C.

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	103T00000X	Psychologist	176840	NY

General Provider Information

NPI Number	:	1861720542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE PSYCHIATRY, P.C.

Provider Business Mailing Address
First Line	:	259 AMHERST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2964 BRIGHTON 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8532
Country	:	US
Telephone Number	:	718-982-6650
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VERONICA ZAK
Credential	:	M.D.
Telephone Number	:	718-382-6650

Provider Enumeration Date	:	11/18/2009
Last Update Date	:	05/14/2010

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