| Diana R Brathwaite, LCSW | |
|
1600 Central Ave, Far Rockaway, NY 11691-4008 | |
| (718) 327-1600 | |
| (718) 868-4792 |
| Full Name | Diana R Brathwaite |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1600 Central Ave, Far Rockaway, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033293527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R053060 (New York) | Primary |
| Entity Name | Outreach Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083717326 PECOS PAC ID: 1355323270 Enrollment ID: O20040603001529 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana R Brathwaite, LCSW 156 Macdougal St, Brooklyn, NY 11233-2625 Ph: (718) 953-8737 | Diana R Brathwaite, LCSW 1600 Central Ave, Far Rockaway, NY 11691-4008 Ph: (718) 327-1600 |
Mrs. Ann Frances Lawrence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Central Ave, Far Rockaway, NY 11691 Phone: 718-868-1400 Fax: 718-327-5615 | |
Mr. Asher Simcha Lebowitz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 Beach 9th St, Suite C, Far Rockaway, NY 11691 Phone: 347-695-9700 Fax: 347-695-9700 | |
Mariah Alicia Salguero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7002 | |
Eliezer Frank, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 Beach 9th St, Far Rockaway, NY 11691 Phone: 718-686-3149 Fax: 718-686-4149 | |
Ms. Terri Anne Coyle Famularo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1908 Brookhaven Ave, Far Rockaway, NY 11691 Phone: 718-869-8400 Fax: 718-869-8405 | |
Mr. Paul B Farkas, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 156 Beach 9th St, Suite C, Far Rockaway, NY 11691 Phone: 347-695-9700 Fax: 347-695-9701 |