| Family Center Inc | |
|
493 Nostrand Ave 3rd Fl Brooklyn NY 11216-2014 | |
| (718) 230-1379 | |
| (718) 638-1628 |
| Full Name | Family Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 493 Nostrand Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ivy Shirelle Gamble Cobb (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7182301379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Center Inc 493 Nostrand Ave 3rd Fl Brooklyn NY 11216-2014 Ph: (718) 230-1379 | Family Center Inc 493 Nostrand Ave 3rd Fl Brooklyn NY 11216-2014 Ph: (718) 230-1379 |
| NPI Number | 1275963720 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Medicare PECOS PAC ID | 4385877968 |
|---|---|
| Medicare Enrollment ID | O20141210001496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275963720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Imaduddin Syed Hashmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013198886 PECOS PAC ID: 3779475652 Enrollment ID: I20040325001687 |
| Provider Name | Bryan D Epel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356619910 PECOS PAC ID: 5799943916 Enrollment ID: I20120220000715 |
| Provider Name | Joan S Salmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679858948 PECOS PAC ID: 2961643465 Enrollment ID: I20130725000765 |
| Provider Name | Robert E. Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306544481 PECOS PAC ID: 8921463399 Enrollment ID: I20230509000170 |
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