| Lena Addo, Incorporated | |
|
621 Gates Avenue Brooklyn NY 11221-1243 | |
| (917) 755-6976 | |
| Not Available |
| Full Name | Lena Addo, Incorporated |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 621 Gates Avenue, Brooklyn, New York |
| Authorized Official Name and Position | Lena Addo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9177556976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lena Addo, Incorporated 621 Gates Aveune Brooklyn NY 11221-1243 Ph: (917) 755-6976 | Lena Addo, Incorporated 621 Gates Avenue Brooklyn NY 11221-1243 Ph: (917) 755-6976 |
| NPI Number | 1609058809 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609058809 | NPI | - | NPPES |
| 02064340 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 013403 (New York) | Primary |
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