| Psychological Health Care Of Ny | |
|
2797 Ocean Pkwy Brooklyn NY 11235-7861 | |
| (718) 743-7700 | |
| Not Available |
| Full Name | Psychological Health Care Of Ny |
|---|---|
| Speciality | Psychologist |
| Location | 2797 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Michael E Kissin (OWNER) |
| Authorized Official Contact | 7183326025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Care Of Ny 65 Oriental Blvd Apt 12c Brooklyn NY 11235-4913 Ph: (718) 332-6025 | Psychological Health Care Of Ny 2797 Ocean Pkwy Brooklyn NY 11235-7861 Ph: (718) 743-7700 |
| NPI Number | 1952464059 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952464059 | NPI | - | NPPES |
| 2319570 | Other | NY | UHC |
| 009369 | Other | NY | LICENCE# |
| 01499105 | Medicaid | NY | |
| VWW351 | Other | NY | BCBS |
| P2786335 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 009369 (New York) | Primary |
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