| 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 |
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