| Brooklyn Bureau Of Community Service | |
|
285 Schermerhorn Street 7th Floor Brooklyn NY 11217-1024 | |
| (718) 310-5633 | |
| (718) 858-2967 |
| Full Name | Brooklyn Bureau Of Community Service |
|---|---|
| Speciality | Counselor |
| Location | 285 Schermerhorn Street, Brooklyn, New York |
| Authorized Official Name and Position | Leslie G Klein (DIRECTOR ADULT REHABILITATION SERVI) |
| Authorized Official Contact | 7183105630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Bureau Of Community Service 285 Schermerhorn Street 7th Floor Brooklyn NY 11217-1024 Ph: (718) 310-5633 | Brooklyn Bureau Of Community Service 285 Schermerhorn Street 7th Floor Brooklyn NY 11217-1024 Ph: (718) 310-5633 |
| NPI Number | 1629137641 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 4183800154 |
|---|---|
| Medicare Enrollment ID | O20120801000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629137641 | NPI | - | NPPES |
| 01525566 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7958001A (New York) | Primary |
| 101YM0800X | Counselor - Mental Health | 7958002A (New York) | Secondary |
| Provider Name | Thresiamma S Nidhiry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145683 PECOS PAC ID: 2961480843 Enrollment ID: I20040708000356 |
| Provider Name | Shivani D Dayal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326287921 PECOS PAC ID: 4082896675 Enrollment ID: I20110302000807 |
| Provider Name | Katherine Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114139698 PECOS PAC ID: 7719147925 Enrollment ID: I20120327000020 |
| Provider Name | Ellen P Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871893768 PECOS PAC ID: 4880840164 Enrollment ID: I20120802000482 |
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