| Stim Psychiatric Pllc | |
|
615 Avenue L C/o Neurocare Tms Brooklyn NY 11230-5121 | |
| (718) 375-0755 | |
| Not Available |
| Full Name | Stim Psychiatric Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 615 Avenue L, Brooklyn, New York |
| Authorized Official Name and Position | Lawrence Bryskin (CEO) |
| Authorized Official Contact | 7183750755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stim Psychiatric Pllc 615 Avenue L ℅ Neurocare Tms Brooklyn NY 11230-5121 Ph: (718) 375-0755 | Stim Psychiatric Pllc 615 Avenue L C/o Neurocare Tms Brooklyn NY 11230-5121 Ph: (718) 375-0755 |
| NPI Number | 1295266302 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 05/08/2017 |
| Medicare PECOS PAC ID | 0042589350 |
|---|---|
| Medicare Enrollment ID | O20170629002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295266302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 100549 (New York) | Primary |
| Provider Name | Lawrence Bryskin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184718405 PECOS PAC ID: 5294850194 Enrollment ID: I20100915001105 |
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