| Brooklyn Psychotherapy Lcsw Services Pc | |
| 
					111 Dahlgren Pl Bsmt Brooklyn NY 11228-3693  | |
| (718) 745-4288 | |
| Not Available | 
| Full Name | Brooklyn Psychotherapy Lcsw Services Pc | 
|---|---|
| Speciality | Social Worker | 
| Location | 111 Dahlgren Pl Bsmt, Brooklyn, New York | 
| Authorized Official Name and Position | Yasser Aly (OWNER) | 
| Authorized Official Contact | 7187454288 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brooklyn Psychotherapy Lcsw Services Pc 111 Dahlgren Pl Bsmt Brooklyn NY 11228-3693 Ph: (718) 745-4288  | Brooklyn Psychotherapy Lcsw Services Pc 111 Dahlgren Pl Bsmt Brooklyn NY 11228-3693 Ph: (718) 745-4288  | 
| NPI Number | 1134788540 | 
|---|---|
| Provider Enumeration Date | 06/10/2019 | 
| Last Update Date | 06/10/2019 | 
| Medicare PECOS PAC ID | 5991031833 | 
|---|---|
| Medicare Enrollment ID | O20190730002128 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134788540 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Yasser Aly | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1265585293 PECOS PAC ID: 9638272743 Enrollment ID: I20070309000533  | 
| Provider Name | Raul Figueroa | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1083778088 PECOS PAC ID: 1850301839 Enrollment ID: I20120223000369  | 
| Provider Name | Samara Harris | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1801161609 PECOS PAC ID: 1254592926 Enrollment ID: I20120406000069  | 
| Provider Name | Giovanni J. Bartolotta | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1598295388 PECOS PAC ID: 8527330844 Enrollment ID: I20170822002454  | 
| Provider Name | Pamela Vega-watler | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1346711751 PECOS PAC ID: 4981062916 Enrollment ID: I20230622002134  | 
| Provider Name | Fiona D Thomas | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1043621329 PECOS PAC ID: 4587106968 Enrollment ID: I20240613000830  | 
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