| Coney Island Hospital Assertive Community Treatment | |
|
2601 Ocean Pkwy Room1101 Brooklyn NY 11235-7745 | |
| (718) 616-4834 | |
| (718) 616-4439 |
| Full Name | Coney Island Hospital Assertive Community Treatment |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2601 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Marji Karlin (CHIEF REVENUE OFFICER) |
| Authorized Official Contact | 6464583481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coney Island Hospital Assertive Community Treatment 160 Water St Room 736 New York NY 10038-4922 Ph: (646) 458-3402 | Coney Island Hospital Assertive Community Treatment 2601 Ocean Pkwy Room1101 Brooklyn NY 11235-7745 Ph: (718) 616-4834 |
| NPI Number | 1114133477 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114133477 | NPI | - | NPPES |
| 02717637 | Medicaid | NY | |
| 02382630 | Medicaid | NY | |
| 02994118 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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