| Sr 350 Medical Pc | |
|
350 Fulton St Brooklyn NY 11201-5123 | |
| (347) 916-1144 | |
| (718) 797-2364 |
| Full Name | Sr 350 Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 Fulton St, Brooklyn, New York |
| Authorized Official Name and Position | Sylvia Estella Reyes (OWNER) |
| Authorized Official Contact | 3479161144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sr 350 Medical Pc 350 Fulton St Brooklyn NY 11201-5123 Ph: (347) 916-1144 | Sr 350 Medical Pc 350 Fulton St Brooklyn NY 11201-5123 Ph: (347) 916-1144 |
| NPI Number | 1972172914 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Medicare PECOS PAC ID | 3274930748 |
|---|---|
| Medicare Enrollment ID | O20210927000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972172914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Sylvia E Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144208539 PECOS PAC ID: 2062404452 Enrollment ID: I20040402001306 |
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