| Puerto Rican Family Institute, Inc. | |
|
217 Havemeyer St Fl 4 Brooklyn NY 11211-6277 | |
| (718) 963-4430 | |
| (718) 963-0814 |
| Full Name | Puerto Rican Family Institute, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 217 Havemeyer St Fl 4, Brooklyn, New York |
| Authorized Official Name and Position | Maria Elena Girone (PRESIDENT) |
| Authorized Official Contact | 2129246320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rican Family Institute, Inc. 145 W 15th St Fl 2 New York NY 10011-6701 Ph: (212) 924-6320 | Puerto Rican Family Institute, Inc. 217 Havemeyer St Fl 4 Brooklyn NY 11211-6277 Ph: (718) 963-4430 |
| NPI Number | 1609980762 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7517855042 |
|---|---|
| Medicare Enrollment ID | O20040308000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609980762 | NPI | - | NPPES |
| 00244880 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6758102A (New York) | Primary |
| Provider Name | Emanuela Tania Da Prada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790891992 PECOS PAC ID: 0345130803 Enrollment ID: I20040318000081 |
| Provider Name | Yenia J Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215163977 PECOS PAC ID: 5294723482 Enrollment ID: I20040505000996 |
| Provider Name | Flavia Robotti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255541322 PECOS PAC ID: 9931144532 Enrollment ID: I20050623000887 |
| Provider Name | Maria Ines Larraguibel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649355959 PECOS PAC ID: 6507873262 Enrollment ID: I20060321000618 |
| Provider Name | Jacqueline Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194895532 PECOS PAC ID: 0244240430 Enrollment ID: I20060503000108 |
| Provider Name | James Gadiel Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861508434 PECOS PAC ID: 5991706996 Enrollment ID: I20070117000447 |
| Provider Name | Carlos Mora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437223161 PECOS PAC ID: 8325142060 Enrollment ID: I20070405000147 |
| Provider Name | Dalia T Olivier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801081518 PECOS PAC ID: 4587722566 Enrollment ID: I20081020000465 |
| Provider Name | Claudio M Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083762587 PECOS PAC ID: 9931269974 Enrollment ID: I20081120000111 |
| Provider Name | Eng Kock C Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932236064 PECOS PAC ID: 5092854935 Enrollment ID: I20091205000049 |
| Provider Name | Alberto Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467753236 PECOS PAC ID: 9537342142 Enrollment ID: I20110318000780 |
| Provider Name | Nicolas Du Mont |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881694420 PECOS PAC ID: 3779759709 Enrollment ID: I20111222000141 |
| Provider Name | Ada N Lugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891865234 PECOS PAC ID: 2567639222 Enrollment ID: I20120120000134 |
| Provider Name | Idalia Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124134770 PECOS PAC ID: 8426225707 Enrollment ID: I20120127000423 |
| 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 | Josephine Ovalles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962661348 PECOS PAC ID: 4587800966 Enrollment ID: I20130410000342 |
| Provider Name | Rosa Maria Rosado Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497069652 PECOS PAC ID: 6406098276 Enrollment ID: I20130807000010 |
| Provider Name | Augusta B Ngeri-soluade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548599830 PECOS PAC ID: 7315174869 Enrollment ID: I20131209001014 |
| Provider Name | Zenia Ines Blandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952498669 PECOS PAC ID: 9436380243 Enrollment ID: I20140320000225 |
| Provider Name | Martha M Briceno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922242148 PECOS PAC ID: 4183947286 Enrollment ID: I20141222001107 |
| Provider Name | Lisha M Tejeda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669754164 PECOS PAC ID: 8628389962 Enrollment ID: I20150612001639 |
| Provider Name | Judith Gil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609171974 PECOS PAC ID: 3870876600 Enrollment ID: I20170201002419 |
| Provider Name | Jeannie Ocasio-hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851845754 PECOS PAC ID: 3274800354 Enrollment ID: I20170519001333 |
| Provider Name | Christine A Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255548095 PECOS PAC ID: 9234405127 Enrollment ID: I20171020000422 |
| Provider Name | Marta V Colon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255669248 PECOS PAC ID: 2567726037 Enrollment ID: I20180509000812 |
| Provider Name | Kerry-ann Kemisha Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477892842 PECOS PAC ID: 2264794387 Enrollment ID: I20190313000785 |
| Provider Name | Nayla Pamela Lehrfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235680281 PECOS PAC ID: 5799111993 Enrollment ID: I20200206002685 |
| Provider Name | Stephen Yale Lande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477909737 PECOS PAC ID: 5799198651 Enrollment ID: I20210113002972 |
| Provider Name | Duane Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245691674 PECOS PAC ID: 0840530648 Enrollment ID: I20211210002033 |
| Provider Name | Francesca Rosa Sternfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043709983 PECOS PAC ID: 5890188106 Enrollment ID: I20220209002367 |
| Provider Name | Allan Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457838575 PECOS PAC ID: 2567855737 Enrollment ID: I20220210001907 |
| Provider Name | Ivelisses Davila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962952929 PECOS PAC ID: 4183010168 Enrollment ID: I20220330002068 |
| Provider Name | Yesenia Santana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841770419 PECOS PAC ID: 0648666271 Enrollment ID: I20220408000216 |
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