Marly Redjina Brisa, is a
Counselor - Mental Health based in Jackson Height, New York. Marly Redjina Brisa is licensed to practice in * (Not Available) (license number ) and her current practice location is
35-24 83rd Street, 3rd Floor, Jackson Height, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 639-0700.
NPI number for Marly Redjina Brisa is 1871301580 and her current mailing address is 35-24 83rd Street, 3rd Floor, Jackson Height, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871301580.
Healthcare Provider's Profile
| Full Name | Marly Redjina Brisa |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 35-24 83rd Street, 3rd Floor, Jackson Height, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871301580
- Provider Enumeration Date: 12/27/2024
- Last Update Date: 12/27/2024
Medical Identifiers
Medical identifiers for Marly Redjina Brisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871301580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marly Redjina Brisa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marly Redjina Brisa, 35-24 83rd Street, 3rd Floor, Jackson Height, NY 11372-1137 Ph: () - | Marly Redjina Brisa, 35-24 83rd Street, 3rd Floor, Jackson Height, NY 11372 Ph: (718) 639-0700 |
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