Marly Redjina Brisa, is a
Counselor - Mental Health based in Jackson Height, New York. Marly Redjina Brisa is licensed to practice in * (Not Available) (license number ) and her current practice location is
35-24 83rd Street, 3rd Floor, Jackson Height, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 639-0700.
NPI number for Marly Redjina Brisa is 1871301580 and her current mailing address is 35-24 83rd Street, 3rd Floor, Jackson Height, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871301580.
Healthcare Provider's Profile
Full Name | Marly Redjina Brisa |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 35-24 83rd Street, 3rd Floor, Jackson Height, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871301580
- Provider Enumeration Date: 12/27/2024
- Last Update Date: 12/27/2024
Medical Identifiers
Medical identifiers for Marly Redjina Brisa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871301580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marly Redjina Brisa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marly Redjina Brisa, 35-24 83rd Street, 3rd Floor, Jackson Height, NY 11372-1137 Ph: () - | Marly Redjina Brisa, 35-24 83rd Street, 3rd Floor, Jackson Height, NY 11372 Ph: (718) 639-0700 |
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