Brooklyn Medical Care Practice Pc | |
705 Franklin Ave Number 707 Brooklyn NY 11238-4202 | |
(718) 398-8700 | |
(718) 398-5770 |
Full Name | Brooklyn Medical Care Practice Pc |
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Speciality | Psychiatry & Neurology |
Location | 705 Franklin Ave, Brooklyn, New York |
Authorized Official Name and Position | Susana Dobrer (OFFICE MANAGER) |
Authorized Official Contact | 7183988700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brooklyn Medical Care Practice Pc 705 Franklin Ave Number 707 Brooklyn NY 11238-4202 Ph: (718) 398-8700 | Brooklyn Medical Care Practice Pc 705 Franklin Ave Number 707 Brooklyn NY 11238-4202 Ph: (718) 398-8700 |
NPI Number | 1790144574 |
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Provider Enumeration Date | 02/22/2016 |
Last Update Date | 02/22/2016 |
Medicare PECOS PAC ID | 3870892458 |
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Medicare Enrollment ID | O20160503001938 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790144574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Bertholet Desir |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730108390 PECOS PAC ID: 1052386380 Enrollment ID: I20040929000125 |
Provider Name | Arthur A Glick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477580165 PECOS PAC ID: 2062460181 Enrollment ID: I20050105000871 |
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