| The Pac Program Of Brooklyn | |
|
7 Debevoise St Brooklyn NY 11206-4101 | |
| (718) 388-5950 | |
| (718) 388-5994 |
| Full Name | The Pac Program Of Brooklyn |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7 Debevoise St, Brooklyn, New York |
| Authorized Official Name and Position | Vladimir Delbrune (BILLING DIRECTOR) |
| Authorized Official Contact | 7183282605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pac Program Of Brooklyn 925 Browers Point Br Woodmere NY 11598-1735 Ph: (516) 295-0817 | The Pac Program Of Brooklyn 7 Debevoise St Brooklyn NY 11206-4101 Ph: (718) 388-5950 |
| NPI Number | 1215974183 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215974183 | NPI | - | NPPES |
| 02679454 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 060811567 (New York) | Primary |
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