| Brave Medical P.c. | |
|
73 Market St Fl 3 Yonkers NY 10710-7616 | |
| (305) 902-6347 | |
| (727) 306-8033 |
| Full Name | Brave Medical P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 73 Market St Fl 3, Yonkers, New York |
| Authorized Official Name and Position | Anna Lindow (CAO) |
| Authorized Official Contact | 3059026347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Medical P.c. 1951 Nw 7th Ave Ste 300 Miami FL 33136-1112 Ph: (305) 902-6347 | Brave Medical P.c. 73 Market St Fl 3 Yonkers NY 10710-7616 Ph: (305) 902-6347 |
| NPI Number | 1902415318 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 2567882731 |
|---|---|
| Medicare Enrollment ID | O20201009001446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902415318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Francis Alejandro Lora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558695890 PECOS PAC ID: 2567767460 Enrollment ID: I20160301001081 |
| Provider Name | Yaron Markfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962817940 PECOS PAC ID: 5092062141 Enrollment ID: I20180719002723 |
| Provider Name | Nazanin Adriana Kavoussi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306186044 PECOS PAC ID: 6608275037 Enrollment ID: I20210604000596 |
| Provider Name | Divya Chhabra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902269020 PECOS PAC ID: 8729341482 Enrollment ID: I20221026001216 |
| Provider Name | Ashley L Moffitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154838738 PECOS PAC ID: 4284079336 Enrollment ID: I20240228001753 |
| Provider Name | Melissa Marie Reighn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659134088 PECOS PAC ID: 9638612013 Enrollment ID: I20240614000656 |
| Provider Name | Jason Brett Ricci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669601308 PECOS PAC ID: 1658815782 Enrollment ID: I20240701001829 |
| Provider Name | Jodi N Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194334060 PECOS PAC ID: 2163968231 Enrollment ID: I20240725000149 |
| Provider Name | Margaret E. Paine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053703538 PECOS PAC ID: 0345789384 Enrollment ID: I20240822001484 |
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