| Paul Good Shepherd Llc | |
|
2342 Dean St Brooklyn NY 11233-4302 | |
| (718) 345-5747 | |
| Not Available |
| Full Name | Paul Good Shepherd Llc |
|---|---|
| Speciality | Counselor |
| Location | 2342 Dean St, Brooklyn, New York |
| Authorized Official Name and Position | Usungu Dimandja (CEO) |
| Authorized Official Contact | 7183455747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Good Shepherd Llc 2342 Dean St Fl 2 Brooklyn NY 11233-4302 Ph: (718) 345-5747 | Paul Good Shepherd Llc 2342 Dean St Brooklyn NY 11233-4302 Ph: (718) 345-5747 |
| NPI Number | 1558778480 |
|---|---|
| Provider Enumeration Date | 07/11/2014 |
| Last Update Date | 07/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558778480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (New York) | Primary |
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