| Guidance Center Of Brooklyn, Inc. | |
|
25 Chapel St Brooklyn NY 11201-1952 | |
| (718) 875-7510 | |
| (718) 858-8410 |
| Full Name | Guidance Center Of Brooklyn, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 25 Chapel St, Brooklyn, New York |
| Authorized Official Name and Position | Lynette Bacchus (ASSIST CONTROLLER) |
| Authorized Official Contact | 2123853030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guidance Center Of Brooklyn, Inc. 125 Broad St 3rd Floor New York NY 10004-2400 Ph: (212) 385-3030 | Guidance Center Of Brooklyn, Inc. 25 Chapel St Brooklyn NY 11201-1952 Ph: (718) 875-7510 |
| NPI Number | 1295868271 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 03/04/2019 |
| Medicare PECOS PAC ID | 2365333119 |
|---|---|
| Medicare Enrollment ID | O20060504000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295868271 | NPI | - | NPPES |
| 00245065 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6965001A (New York) | Primary |
| Provider Name | Janice L Essa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356494280 PECOS PAC ID: 4880736230 Enrollment ID: I20100122000318 |
| Provider Name | David Ochshorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881747780 PECOS PAC ID: 8729120837 Enrollment ID: I20100127000420 |
| Provider Name | Brighid A Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366870453 PECOS PAC ID: 0749419604 Enrollment ID: I20140219000472 |
| Provider Name | Shoshannah Pearlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114368370 PECOS PAC ID: 9638302177 Enrollment ID: I20140507001049 |
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