MEDICARE: ELIEZER Z STREICHER

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	103K00000X	Behavior Analyst	71-P116744-01	NY

General Provider Information

NPI Number	:	1871204651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIEZER Z STREICHER

Provider Business Mailing Address
First Line	:	4205 15TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1574
Country	:	US
Telephone Number	:	917-627-8933
Fax Number	:

Provider Business Practice Location Address
First Line	:	4205 15TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1574
Country	:	US
Telephone Number	:	917-627-8933
Fax Number	:

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

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	12/12/2022

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Directions to “ ELIEZER Z STREICHER ” Practice Location

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