| Suny Dmc @lich-psychiatry | |
|
97 Amity St Brooklyn NY 11201-6004 | |
| (718) 780-1663 | |
| Not Available |
| Full Name | Suny Dmc @lich-psychiatry |
|---|---|
| Speciality | Psychologist |
| Location | 97 Amity St, Brooklyn, New York |
| Authorized Official Name and Position | Marilyn Vientos - Sotiriadis (COO) |
| Authorized Official Contact | 7182702025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suny Dmc @lich-psychiatry 97 Amity Street Brooklyn NY 11201 Ph: (718) 780-1663 | Suny Dmc @lich-psychiatry 97 Amity St Brooklyn NY 11201-6004 Ph: (718) 780-1663 |
| NPI Number | 1306144878 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306144878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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