| Brooklyn Psychiatry Pllc | |
|
34 Plaza St E Ste P108 Brooklyn NY 11238-5047 | |
| (347) 988-4824 | |
| Not Available |
| Full Name | Brooklyn Psychiatry Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 34 Plaza St E Ste P108, Brooklyn, New York |
| Authorized Official Name and Position | Akinola Adebisi (OWNER) |
| Authorized Official Contact | 3479884824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Psychiatry Pllc 515 E 7th St Apt 3f Brooklyn NY 11218-4827 Ph: (347) 988-4824 | Brooklyn Psychiatry Pllc 34 Plaza St E Ste P108 Brooklyn NY 11238-5047 Ph: (347) 988-4824 |
| NPI Number | 1073122164 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Medicare PECOS PAC ID | 7719395276 |
|---|---|
| Medicare Enrollment ID | O20210421002271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073122164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Akinola O Adebisi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295943025 PECOS PAC ID: 6305911827 Enrollment ID: I20080819000221 |
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