| Chevra Llc | |
|
1622 Coney Island Ave Brooklyn NY 11230-4700 | |
| (718) 916-0609 | |
| Not Available |
| Full Name | Chevra Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1622 Coney Island Ave, Brooklyn, New York |
| Authorized Official Name and Position | David Churba (MANAGER) |
| Authorized Official Contact | 7189160609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chevra Llc 1435 E 18th St Brooklyn NY 11230-6705 Ph: (718) 916-0609 | Chevra Llc 1622 Coney Island Ave Brooklyn NY 11230-4700 Ph: (718) 916-0609 |
| NPI Number | 1427840875 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427840875 | NPI | - | NPPES |
| 0590 | Medicaid | NY | |
| 0582 | Medicaid | NY | |
| 0580 | Medicaid | NY | |
| 0560 | Medicaid | NY | |
| 0591 | Medicaid | NY | |
| 0581 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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