| Dc Np Psychiatry Pc | |
|
142 Joralemon St Rm 1 Brooklyn NY 11201-4747 | |
| (929) 527-0474 | |
| (929) 489-3559 |
| Full Name | Dc Np Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 142 Joralemon St Rm 1, Brooklyn, New York |
| Authorized Official Name and Position | Svetlana Kibrik (PRACTICE MANAGER) |
| Authorized Official Contact | 9177699986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Np Psychiatry Pc 154 Norfolk St Brooklyn NY 11235-2306 Ph: (929) 527-0474 | Dc Np Psychiatry Pc 142 Joralemon St Rm 1 Brooklyn NY 11201-4747 Ph: (929) 527-0474 |
| NPI Number | 1316648389 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 1759748957 |
|---|---|
| Medicare Enrollment ID | O20230602001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316648389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Donovan G Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003409038 PECOS PAC ID: 6305215450 Enrollment ID: I20221212001535 |
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