| Beverley Mack Harry Consulting Services Inc. | |
|
738 Crown St Brooklyn NY 11213-5442 | |
| (718) 363-0100 | |
| (718) 363-3005 |
| Full Name | Beverley Mack Harry Consulting Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 738 Crown St, Brooklyn, New York |
| Authorized Official Name and Position | Beverley Harry (PRESIDENT) |
| Authorized Official Contact | 7183630100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverley Mack Harry Consulting Services Inc. Po Box 250836 Brooklyn NY 11225-0836 Ph: (717) 363-0100 | Beverley Mack Harry Consulting Services Inc. 738 Crown St Brooklyn NY 11213-5442 Ph: (718) 363-0100 |
| NPI Number | 1497832919 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/24/2015 |
| Medicare PECOS PAC ID | 3476529082 |
|---|---|
| Medicare Enrollment ID | O20040904000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497832919 | NPI | - | NPPES |
| 01472917 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 8796100A (New York) | Primary |
| Provider Name | Beverly H Harry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699949768 PECOS PAC ID: 7214903822 Enrollment ID: I20040904000048 |
| Provider Name | Carmin Appolon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124052394 PECOS PAC ID: 9739108192 Enrollment ID: I20051115000346 |
| Provider Name | Joseph N Voigt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326075888 PECOS PAC ID: 3870773385 Enrollment ID: I20110216000011 |
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